Workers Comp - Form 61 A 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering the Contractor's Business or Trade Name, followed by the Last and First Name of the Contractor. Ensure all information is legible.
  3. Input the Contractor's Federal Employer ID (FEIN) or Tax ID Number. If you do not have one, consider obtaining a Temporary FEIN from the Virginia Tax Department.
  4. Fill in the Contractor's Business Address if it differs from the Mailing Address, along with the City, State, and Zip code.
  5. Provide your Home Telephone number and complete the Workers’ Compensation Insurance section. Indicate your insurance type and fill in details such as Insurance Carrier name and Policy Number.
  6. If you do not have workers' compensation insurance, answer the additional questions regarding employee count and subcontractors.
  7. Finally, sign and date the form at the bottom to certify that all information is accurate before submitting it to your local Commissioner of Revenue.

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