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An injured worker or worker with an occupational disease may file a Claim for Benefits with the VWC simply by sending a letter with the worker's name and address to the VWC at 1000 DMV Drive, Richmond, Virginia 23220, including the benefits sought and stating the date of accident or date of communication to the worker of an occupational disease, the nature of the injuries or nature of the occupational disease, and the employer's name and address. The word "Claim" should appear on the outside of the envelope. It is strongly suggested that the worker obtain an official Claim for Benefits form from the VWC. Click here for a copy of a Claim for Benefits form. The Claim form or letter should be mailed, delivered or faxed to the VWC in Richmond or to a Regional Office.
Employers and insurers should obtain correct forms from the VWC for filing an Employer’s Application (Click here for a copy of an Employer's Application) or for taking other action concerning a claim or outstanding award of benefits. Applications may be mailed, delivered or faxed to the VWC in Richmond or to a Regional Office.
Copies of these and other forms are available on this site under Forms.
Home
Legal
Summaries Statutes-VWC Rules
Selected Cases Forms
Search VWC Locations
VWC Organization Resources
News Links