Frederick County
Home MenuWorkers' Compensation Insurance Information
| Workers Compensation Tasks and Forms | ||
|---|---|---|
| Contractor's Certificate of Insuring Liability for Worker's Compensation Form (State Requirement) ["Online" here will be automatically sent to FC Commissioner of the Revenue] |
Online |
Printable |
| Virginia Workers' Compensation Commission Informational Sheet |
Printable | |
Your Certificate of Worker's Compensation (Form 61A) MUST BE SUBMITTED ANNUALLY -- even if you are not required to carry Worker's Comp Insurance.
An online link to file the form directly with the Commissioner's office as well as a link to the printable version of the form are accessible above.
Tax Code
Virginia State Code § 65.2 et seq.
- Pursuant to the Code, Frederick County cannot issue a business license to any contractor who has not filed their annual Workers Comp Insurance form.
- THE CONTRACTOR'S CERTIFICATE OF WORKERS' COMPENSATION INSURANCE FORM (Form 61-A) IS REQUIRED TO BE SUBMITTED ANNUALLY EVEN IF NO INSURANCE IS REQUIRED.
- A Certificate of Insurance (COI) as provided by your carrier will NOT be accepted in lieu of a completed Form 61-A.
VA WCC
An informational sheet regarding Virginia coverage requirements, contractor liability, and voluntary coverage has been provided by the Virginia Workers' Compensation Commission (WCC). More information can be obtained from the VA WCC by calling 877-664-2566 or via their website at www.workcomp.virginia.gov.