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This Form is used to request a Cost-of-Living Adjustment (COLA) in Virginia. It allows individuals to request an increase in their income or benefits to account for changes in the cost of living. This document is important for individuals living in Virginia who need a financial adjustment due to rising expenses.
This document is a profile for electronically transmitting workers' compensation data in the state of Virginia.
This document is used for making inquiries about medical providers in the state of Virginia.
This form is used for reporting the annual payroll of self-insurers by city, town, or county school boards in Virginia.
This form is used for insurance carriers in Virginia to report their annual premiums, assessments, and other financial information. It helps ensure transparency and regulation in the insurance industry.
This type of document is used in Virginia to revoke a prior rejection of coverage by an officer or manager.
This type of document, called an affidavit, is commonly used in the state of Virginia. It is a written statement made under oath that is used as evidence in legal proceedings.
This document is used to establish an electronic partnership agreement in the state of Virginia.
This form is used for an informational letter in Virginia when an employee is not represented by counsel. It provides important information to the employee regarding their rights and responsibilities in a legal matter.
This form is used for requesting full and final mediation in the state of Virginia.
This form is used for mediation proceedings in the state of Virginia. It allows parties involved to provide their evaluation and feedback on the mediator and the mediation process.
This Form is used for reporting a patient's medical information by their attending physician in the state of Virginia.
This document provides information about the different levels and types of amputations in the state of Virginia.
This Form is used for an Irrevocable Letter of Credit issued in Virginia.
This document is a pre-mediation statement used in Virginia for contesting an original claim. It provides a comprehensive and final overview of the disputed claim before entering into mediation.
This Form is used for responding to a change in condition claim in the state of Virginia.
This Form is used for healthcare providers in Virginia to respond to an application for medical care provider enrollment.
This form is used for reporting the annual payroll of a city, town, or county that operates as a self-insurer in Virginia. It provides information on the wages paid to employees and helps in determining insurance premiums.
This form is used for employers in Virginia to apply for individual self-insurance under the Virginia Workers' Compensation Act.
This type of document, the VWC Form 35 Fatal Award Agreement, is used in Virginia for the settlement of worker's compensation claims involving fatal injuries.
This document is used to request an expedited hearing in Virginia.
This type of document is a letter addressed to the beneficiary in a fatal case in Virginia. It is used for informing the beneficiary of their entitlement to receive a certain benefit or compensation following the death of an individual.
This form is used for referral in Virginia when there is a lack of coverage.
This form is used for reporting incidents that occur in health homes in Washington state. It is used to document any unexpected events or occurrences that could impact the health and safety of individuals receiving services in health home programs.
This Form is used for individuals in Ventura County, California to request a duplicate check. It is an affidavit form that verifies the need for a replacement check.
This form is used for signing an agreement to pay for healthcare services in the state of Washington.
This Form is used for requesting botulinum toxin treatment in the state of Washington.
This form is used for contractors in the City of Houston, Texas to submit their revised MWSBE participation plan.
This form is used for submitting a bidder's MWSBE (Minority and Women-owned Small Business Enterprise) participation plan for city contracts in Houston, Texas.
This form is used for requesting court reporting services by a party with a fee waiver in Los Angeles County, California.
This form is used for filing a proposed order and stipulation to continue trial, FSC (Final Status Conference), and related motion/discovery dates in personal injury courts in the North District of the County of Los Angeles, California.
This form is used for stipulating and ordering the use of a certified shorthand reporter in the County of Los Angeles, California.
This form is used for confidential mediation proceedings in family court services in Los Angeles County, California.