Get Va Vwc 61-a 2017

Filling out the VA VWC 61-A form is crucial for contractors seeking to certify their workers' compensation insurance coverage in Virginia. This guide will provide you with clear, step-by-step instructions to help you complete the form accurately and efficiently online.

Follow the steps to successfully complete the VA VWC 61-A form.

1. Click the ‘Get Form’ button to obtain the form and open it in your editor.
2. Enter the contractor's business or trade name. Provide the last name and first name of the contractor. Ensure all information is filled out completely and legibly.
3. Input the contractor's Federal Employer Identification Number (FEIN) or Tax ID number. If you do not have a FEIN, you may obtain a temporary one through the Virginia Tax Department.
4. If applicable, provide the contractor's business address separate from the mailing address. List the city, state, and zip code accordingly.
5. Fill in the contractor's mailing address, city, state, and zip code. Also, provide a home telephone number for contact purposes.
6. Select the type of workers' compensation insurance you possess and complete the relevant fields, including the name of the insurance carrier, policy number, and the insurance carrier's city, state, and zip code.
7. Indicate the type of business structure (e.g., Corporation, LLC, Sole Proprietorship) and the number of officers, paid members, or partners according to the business type.
8. State the type of trade or industry in which the contractor operates and provide the business telephone number and email address.
9. If you do not have a workers' compensation insurance policy, answer the additional questions regarding the number of employees and whether you hire independent contractors or subcontractors.
10. Complete the policy effective date and policy expiration date, ensuring all provided information is correct and ensuring compliance with Virginia law.
11. Under penalty of perjury, sign and date the application. Print the name of the contractor beneath the signature.
12. Finally, save your changes, then download, print, or share the completed form as needed before returning it to your local Commissioner of the Revenue or the appropriate official.

Complete your VA VWC 61-A form online today to ensure compliance and avoid potential penalties.