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By mail: Complete the Claim for Benefits Form and mail it to: Virginia Workers' Compensation Commission, 333 E. Franklin St., Richmond, VA 23219. By fax: Complete the Claim for Benefits Form and fax it to: 804-823-6956. By Webfile: Use your JCN and PIN number to create a WebFile account.
How To Notify Your Employer of Work Injury Step-By-Step Basic Information. Explain How You Were Injured On The Job. Talk About Your Injury. Clarify That You Had No Pre-Existing Injuries. Include Medical Information From Your Doctor. Request a List of Approved Doctors. Remind Your Employer To Take the Next Steps.
Complaints can be filed with the Virginia Occupational Safety and Health program, part of the Virginia Department of Labor and Industry, in two ways: By filling out a form at
In Virginia, the employer/employee relationship is governed by the at-will employment doctrine. This means that either party may terminate the relationship at any time, with or without cause, and with or without notice. “Reasonable notice” for termination of at-will employment does not require advance notice.
Claims for unpaid wages can be submitted electronically through the DOLI Portal. The quickest method to submit a claim for unpaid wages is electronically.
Rule 1.8(F) allows that "subpoenaed records may be made returnable to the requesting party or, at the direction of the Commission, to the Clerk of the Commission or to a regional office. If subpoenaed records contain medical reports, they must be filed with the Commission pursuant to Rule 4(K)."
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. Unless otherwise directed by the Commission or these Rules, the parties shall not file medical records with the Commission until a hearing request is filed.
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. Unless otherwise directed by the Commission or these Rules, the parties shall not file medical records with the Commission until a hearing request is filed.
In 2021, the Virginia Workers Compensation Commission approved 4,839 settlements with a total aggregate value of $253,600,035. Therefore, the average workers comp settlement payout in Virginia was $52,407.53.
The CA-1 form is used if the employee has sustained a Traumatic Injury on the job. Traumatic Injury - A wound or other condition of the body caused by external force, including stress or strain.