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 Virginia
Worker's Compensation
Automated
Forms Package includes everything you need:
Form
PR-50
Request
for Peer Review
Form
3
Employer's
Accident Report
Form
3A
Supplementary
Report
Form
3B
Supplementary
Report for Fatal Accidents
Form
4
Agreement
to Pay Benefits
Form
4A
Supplemental
Agreement to Pay Benefits
Form
5
Claim
for Benefits
Form
5A
Employer's
Application for Hearing
Form
6
Attending
Physician's Report
Form
7A
Wage
Chart
Form
12A
Lump
Sum Agreement
Form
35
Memorandum
of Agreement for Payment of Compensation in a Fatal Case
Form
45A
Report
of Minor Injuries
Form
45G
Report
of Medical Costs
Form
46
Termination
of Wage Loss Award
Request
for Mediation
Subpoena
Duces Tecum (Civil) - Attorney Issued
Subpoena
for Witness (Civil) - Attorney Issued
Subpoena
Duces Tecum - VWC Issued
Subpoena
for Witness - VWC Issued
Subpoena
Duces Tecum - Requesting Party
Subpoena
Cover Letter to Sheriff
Subpoena
for the Taking of Deposition
Our
software development team is continually working to improve and
enhance our automated forms packages. If you are aware of a form
that would make a positive addition to the above list, we'd love to
hear about it! Please call us toll-free or email
the information.
For
immediate answers to your questions or to expedite an order, please
call us toll-free 1-800-556-7526, extension 1008.
Pricing can be found on our secure
ShopSite by clicking on the blue "Order Now" button. Promotions are
currently running -- call the toll-free number above for details. | 
