VWC Form SI20 Employer's Application for Individual Self-insurance Under the Virginia Workers' Compensation Act - Virginia

VWC Form SI20 Employer's Application for Individual Self-insurance Under the Virginia Workers' Compensation Act - Virginia

What Is VWC Form SI20?

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 the VWC Form SI20?
A: The VWC Form SI20 is the Employer's Application for Individual Self-insurance under the Virginia Workers' Compensation Act.

Q: What is the purpose of the VWC Form SI20?
A: The purpose of the VWC Form SI20 is to apply for individual self-insurance under the Virginia Workers' Compensation Act.

Q: Who needs to fill out the VWC Form SI20?
A: Employers who wish to apply for individual self-insurance under the Virginia Workers' Compensation Act need to fill out the VWC Form SI20.

Q: What information is required in the VWC Form SI20?
A: The VWC Form SI20 requires information such as the employer's name, address, contact details, financial statements, and other relevant information.

Q: What is the deadline for filing the VWC Form SI20?
A: The deadline for filing the VWC Form SI20 is typically 90 days prior to the expiration of the employer's current insurance coverage.

Q: Who should I contact for more information about the VWC Form SI20?
A: For more information about the VWC Form SI20, you should contact the Virginia Workers' Compensation Commission (VWC).

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Form Details:

  • Released on November 6, 2017;
  • 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 printable version of VWC Form SI20 by clicking the link below or browse more documents and templates provided by the Virginia Workers' Compensation Commission.

Download VWC Form SI20 Employer's Application for Individual Self-insurance Under the Virginia Workers' Compensation Act - Virginia

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  • VWC Form SI20 Employers Application for Individual Self-insurance Under the Virginia Workers Compensation Act - Virginia, Page 1
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