The injured worker must file a claim with the Virginia Workers' Compensation Commission in order to protect their right to benefits under Virginia law. This Claim Form should be submitted within one year of the crime.Please include a letter explaining the delay, if more than one year has passed. All medical expenses must be reported on VA Form 21P-8416, Medical Expense Report. IMPORTANT REMINDER–To avoid having to submit a paper claim form: • Always have your ID card available at time of purchase. How do I file a claim? You can download and fill out a form, called the Patient Request for Medical Payment form (CMS-1490S). How to file your claim. Fill out a Veteran Reimbursement Claim Form (VA Form 10-320). Proof of timely filing: Mark the top of the claim "CLAIM FOR RESUBMISSION.