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How to File VWC's Certificate of Workers' Compensation Insurance Form 61A - YouTube
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Filing the 61A Certificate of Workers' Compensation
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insurance form online is convenient and easy.
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Before you get started, make sure you have
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these items on hand to reference.
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The name of the business owner or contractor.
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For a corporation or LLC, this may be an authorized
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representative such as the president or manager.
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You will also need a federal or tax identification number for the business
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and complete and accurate insurance coverage
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information including the five digit insurance carrier
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NCCI code, full policy number and policy period.
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This information can be located on the declaration
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information page of the policy.
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Here's an example-
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Keep in mind, you only have to complete the online filing
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process once and submit copies of the certificate to
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each separate locality where applying for a business license.
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Additionally, acceptance of paper forms is up
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to the individual locality.
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Contact the Commissioner of Revenue office in the
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locality you are applying for specific details.
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Now let's look at how to file the 61A application online.
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For security purposes, use the most recent
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version of Google Chrome.
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Go to the Virginia Workers' Compensation Commission's
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website- www.workcomp.virginia.gov
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and click 'Employers'.
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Then click here to begin filing the 61A online.
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Additional guidance can be found here.
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Click next.
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Enter the business owner or contractor's name.
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If a contractor license is under a corporation or LLC,
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enter the name of an authorized representative
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such as a president, vice president or
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manager of the business.
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Continue through the other fields.
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Remember- phone numbers should not include dashes.
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Click next.
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If the business is a corporation, enter
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the total number of executive officers.
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This should not include any board members or directors.
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For an LLC, enter the total number of LLC
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members that are paid.
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If selecting a partnership,
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input the total number of partners.
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Continue through the other fields.
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Here is where you need that federal or tax ID number
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you located in advance.
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Enter it without spaces or special characters
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and then click next.
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If your business is not currently insured for
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workers' compensation, click no and
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answer the other questions.
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If your business is insured, click yes and choose how
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you obtained workers' compensation insurance.
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If selecting through an insurance carrier licensed in
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Virginia, enter the five digit NCCI carrier code.
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Remember- it is typically located on the declaration
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information page of the policy.
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Be sure to select the carrier corresponding to the
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code you entered to validate coverage, then proceed
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with entering your policy number and policy dates.
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If selecting became a member of a group self-insurance
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association, you will then select your GSIA
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from the drop-down option shown here,
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and continue through the other fields.
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If selecting became a client of a professional employer
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organization registered in Virginia,
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enter the PEO name and carrier code.
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You may need to contact the PEO for policy number
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information if insured through a PEO master policy.
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Lastly, if selecting was issued a certificate of
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authorization to be self-insured by the
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Virginia Workers' Compensation Commission,
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enter the self-insured certificate number and effective
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date of the certificate and click next.
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Read and accept the information here and type in a
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digital signature. The signature must match the
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contractor name you listed on the application.
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Once you click Submit, you're not finished.
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You must download the certificate.
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Save the certificate file for your records.
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This certificate cannot be replaced.
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To find the downloaded file, go to your PC folders,
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select your downloads folder and you will see the PDF.
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Open the document, click File, Save As, and save it to your computer.
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Somewhere you can easily locate it when needed.
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Keep in mind, the Virginia Workers' Compensation
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Commission will not send this certificate for you.
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You must officially submit the application.
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Print the certificate and provide it to the Commissioner
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of Revenue's office when applying
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for your business license.
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For questions, here are ways to contact the Virginia
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Workers' Compensation Commission's Insurance Department.
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