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.
Q: What is VWC Form 17A?
A: VWC Form 17A is a form used for the revocation of prior rejection of coverage in Virginia.
Q: Who can use VWC Form 17A?
A: Employers in Virginia can use VWC Form 17A.
Q: What does VWC Form 17A do?
A: VWC Form 17A revokes a prior rejection of coverage by an officer or manager of a corporation.
Q: What is the purpose of revoking a prior rejection of coverage?
A: Revoking a prior rejection of coverage allows an officer or manager of a corporation to obtain workers' compensation coverage.
Q: Is VWC Form 17A specific to Virginia?
A: Yes, VWC Form 17A is specific to Virginia and is used for workers' compensation coverage in the state.
Form Details:
Download a printable version of VWC Form 17A by clicking the link below or browse more documents and templates provided by the Virginia Workers' Compensation Commission.