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Wage Chart The boxes to the right are for the use of the insurer. Employer s Statement of Wage Earnings Virginia Workers Compensation Commission 1000 DMV Drive Richmond VA 23220 Employee Reserved.

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To calculate your rate, you use your earnings for the 52-weeks prior to your accident, take out any weeks that you had no pay, and then divide the number of weeks into your earnings to determine your average weekly wage. Once you determine that number, you will be eligible for 66.66% of it as your wage loss benefits.

Examples. If you generally worked five days per week, your AWW will be set by dividing your total salary by the total number of days paid, then multiplying the result by 260, and dividing that total by 52.

Discharge of employee for exercising rights prohibited; civil action; relief. A. No employer or person shall discharge an employee solely because the employee intends to file or has filed a claim under this title or has testified or is about to testify in any proceeding under this title.

Rule 4.2 Medical Reports Each party shall promptly provide the other parties with copies of any medical records they receive as they receive them.

- determine the total wages earned, including yearly perquisites; - divide the total wages earned by the number of weeks worked (employee paid 26 times a year represents 52 weeks of wages); - the sum will be the average weekly wage. .workcomp.virginia.gov under the forms menu. number at (1-877) 664-2566.

After calculating your average weekly wage, you would be eligible for two-thirds of that wage (or the maximum rate, whichever is lower). For example, if your pre-injury average weekly wage was $900, then you are entitled to $600 in benefits, which is two-thirds of your average weekly wage.

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.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
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