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  • Vwc Form 45a

Get Vwc Form 45a

Surer Period covered From Address Insurer code / / Insurer location Contact Person To / / . Date filed Phone number Payments NOTE: If this accident has been previously reported on Form 45A, pl ace an X in the box by the entry. Name of employee Social Security Number Address of employee Date of accident Name and address of employer Employer Tax Identification Number Monthly medical cost Name of employee Social Security Number Date of accident Address of employee Name.

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If your injury or illness is so severe that you are permanently and totally unable to work, you may be entitled to wage loss benefits for the rest of your life. The weekly payment is two-thirds (66.66 percent) of your average weekly wages prior to injury or illness.

Virginia law requires that most employers carry workers' compensation insurance in order to cover their workers in the event of a work injury. Workers' compensation provides a tradeoff for both employers and employees. For the employer, it provides an exclusive remedy, shielding the employer from civil suit.

1 Q: Am I required to obtain workers' compensation insurance? A: Virginia law requires that an employer who regularly employs more than two part-time or full-time employees carry workers' compensation.

Effective July 1, 2022 the maximum compensation rate will be $1290.00. Effective July 1, 2022 the minimum compensation rate will be $322.50. Effective July 1, 2022, the mileage reimbursement rate will be $. 625 per mile.

Employees who suffer on-the-job injuries and diseases may be eligible for benefits under the Virginia Workers' Compensation Act. If injured, you should (1) report your injury to your employer immediately; and (2) file a claim with the Commission no later than two years after the accident.

Virginia workers' comp can help cover: Disability payments if a work-related injury or illness leaves an employee temporarily or permanently disabled. Accident or injury sustained while working. Workers' comp can help pay for the medical expenses of injured workers if they get hurt in a work accident.

You may file the claim: In person: Complete the Claim for Benefits Form and deliver it to any of our office locations. ... By mail: Complete the Claim for Benefits Form and mail it to: Virginia Workers' Compensation Commission, 333 E. ... By fax: Complete the Claim for Benefits Form and fax it to: 804-823-6956.

Under Virginia's Workers' Compensation Act, employers must provide workers' comp to their legally hired employees, but they are not required to cover contractors. Independent contractors and subcontractors usually have to shoulder their own workers' comp insurance.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232