The forms below are relevant to attorneys.
Click here to view documents for attorneys.

Medical Care Provider Application Response Form

 This form may be used by employers, insurers, or claims administrators to notify the ADR Department whether a Medical Provider Application

  • is or will be accepted and paid;
  • is under review for repricing, negotiation, or other reason; or
  • is denied and for what reason; and
  • whether the employer, insurer, or claims administrator consents to issue mediation with the medical provider to try and resolve the claim together, with the help of a mediator, without the need for a hearing.

 

Change In Condition Claims Response Form

 This form may be used by employers, insurers, or claims administrators to notify the ADR Department whether an injured worker’s Change in Condition Claim.

  • is accepted, accepted in part and denied in part, or denied;
  • the reasons for acceptance or denial, and, if denied in whole or in part;
  • whether the employer, insurer, or claims administrator consents to issue mediation with the injured worker to try and resolve the claim together, with the help of a mediator, without the need for a hearing.

WebFile Attorney Registration Form

Attorneys must be added to the Commission's database under their law firm before WebFile access can be granted. This form must be completed and emailed to webfile.support@workcomp.virginia.gov when a firm is requesting WebFile access or when a firm is adding a new attorney who will need WebFile access.

 

Attorneys who are moving to a new firm and wish to maintain access to their current cases through WebFile must contact the Clerk's Office at 804-205-3569 for assistance.