VWC Form 5A Employer's Application for Hearing - Virginia

VWC Form 5A Employer's Application for Hearing - Virginia

What Is VWC Form 5A?

This is a legal form that was released by the Virginia Workers' Compensation Commission - a government authority operating within Virginia. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is VWC Form 5A?
A: VWC Form 5A is the Employer's Application for Hearing in Virginia.

Q: Who should use VWC Form 5A?
A: Employers in Virginia who want to request a hearing should use VWC Form 5A.

Q: What is the purpose of VWC Form 5A?
A: The purpose of VWC Form 5A is to request a hearing with the Virginia Workers' Compensation Commission regarding an employment-related issue.

Q: Are there any fees associated with filing VWC Form 5A?
A: No, there are no fees associated with filing VWC Form 5A.

Q: What information should be included in VWC Form 5A?
A: VWC Form 5A requires information about the employer, employee, and a description of the employment-related issue.

Q: What is the deadline for submitting VWC Form 5A?
A: VWC Form 5A should be submitted within 30 days from the date of the Commission's Notice of Claim.

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Form Details:

  • Released on November 1, 2021;
  • The latest edition provided by the Virginia Workers' Compensation Commission;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of VWC Form 5A by clicking the link below or browse more documents and templates provided by the Virginia Workers' Compensation Commission.

Download VWC Form 5A Employer's Application for Hearing - Virginia

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