VWC Form 17A Officer / Manager Revocation of Prior Rejection of Coverage - Virginia

VWC Form 17A Officer / Manager Revocation of Prior Rejection of Coverage - Virginia

What Is VWC Form 17A?

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 VWC Form 17A?
A: VWC Form 17A is a form used for the revocation of prior rejection of coverage in Virginia.

Q: Who can use VWC Form 17A?
A: Employers in Virginia can use VWC Form 17A.

Q: What does VWC Form 17A do?
A: VWC Form 17A revokes a prior rejection of coverage by an officer or manager of a corporation.

Q: What is the purpose of revoking a prior rejection of coverage?
A: Revoking a prior rejection of coverage allows an officer or manager of a corporation to obtain workers' compensation coverage.

Q: Is VWC Form 17A specific to Virginia?
A: Yes, VWC Form 17A is specific to Virginia and is used for workers' compensation coverage in the state.

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Form Details:

  • Released on February 1, 2011;
  • 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 17A by clicking the link below or browse more documents and templates provided by the Virginia Workers' Compensation Commission.

Download VWC Form 17A Officer / Manager Revocation of Prior Rejection of Coverage - Virginia

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