Loading
Get Vwc 61-a 2012
How it works
-
Open form follow the instructions
-
Easily sign the form with your finger
-
Send filled & signed form or save
How to fill out the VWC 61-A online
Filling out the VWC 61-A, the Contractor’s Certificate of Workers’ Compensation Insurance, is an essential step for contractors seeking a business license in Virginia. This guide provides a clear, step-by-step approach to completing the form accurately and efficiently online.
Follow the steps to complete the VWC 61-A form online.
- Click ‘Get Form’ button to access the form and open it in the online editor.
- Identify the locality where you are applying for or renewing your business license. This includes specifying the city, town, or county and providing the name of that locality.
- Fill in the business or trade name. Ensure that sole proprietors and partners include the trade name under which the business operates.
- Input your business license number fully, including any necessary prefixes or suffixes.
- Enter the name of the applicant, providing both the first and last names as required.
- Complete the applicant's mailing address, including city, state, and zip code.
- Provide the business address used to receive mail from the U.S. Postal Service, ensuring accuracy in city, state, and zip code fields.
- Indicate your home telephone number for contact purposes.
- Select the legal structure of the business (e.g., LLC, corporation, sole proprietor, partnership, etc.).
- Describe your method of obtaining workers’ compensation insurance by indicating one of the provided options (e.g., licensed insurance carrier, self-insured, etc.).
- Provide the name of the insurance carrier or insuring entity along with the policy number and effective dates.
- If stating that workers’ compensation is not required, check the appropriate box and provide reasoning, including information on hiring independent contractors or subcontractors.
- Sign the form under penalty of perjury, certifying that the information provided is correct.
- Date the form to indicate when it was completed.
- Return the completed form to the appropriate licensing authority where the business license was obtained. You can save changes, download, print, or share the form as needed.
Complete your documents online today for a smooth application process.
Get form
Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.
Form 61A is a crucial document in the Virginia workers' compensation process; it outlines your injury details and claims for benefits. Completing this form accurately ensures that you provide all necessary information to support your claim. To avoid mistakes, consider using resources from uslegalforms to guide you through filling out the VWC 61-A.
Get This Form Now!
Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.
Industry-leading security and compliance
US Legal Forms protects your data by complying with industry-specific security standards.
-
In businnes since 199725+ years providing professional legal documents.
-
Accredited businessGuarantees that a business meets BBB accreditation standards in the US and Canada.
-
Secured by BraintreeValidated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.