Virginia Workers Compensation - Official forms

Workers Compensation - Official - Charts

• Amputation Chart - Hand for Workers' Compensation VA-001-WC
• Amputation Chart - Foot for Workers' Compensation VA-001A-WC

Workers Compensation - Official - Physicians

• Attending Physicians Report for Workers' Compensation VA-006-WC

Workers Compensation - Official - Subpoenas

• Witness Subpoena for Workers' Compensation VA-0011-WC
• Subpoena Duces Tecum for Workers' Compensation VA-008-WC
• Subpoena for Witness for Workers' Compensation VA-009-WC

Workers Compensation - Official - Wages

• Wage Chart for Workers' Compensation VA-0010-WC
• Termination of Wage Loss Award for Workers' Compensation VA-0046-WC