User Type
Enter the Jurisdiction Claim Number (JCN) as listed on the Notification of Injury document mailed to the Claimant. It should be in the format "VA000000xxxxx". If you need assistance with determining your JCN, please call the Commission at 1-877-664-2566.
Enter the reported date of injury (DOI) as listed on the Notification of Injury document mailed to the Claimant. If you need assistance with determining the date of injury, please call the Commission at 1-877-664-2566.
Enter the name of your organization.
First name associated to the WebFile account.
Last name associated to the WebFile account.
Email address associated to the WebFile account.
Please contact me at this email address.
Please provide a complete description of the issue including the username(s) of affected account(s) and JCN(s), date(s) of incident(s), and the actions taken in WebFile that led to the issue.
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