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Click ‘Get Form’ to open it in the editor.
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.
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.
Fill in the Contractor's Business Address if it differs from the Mailing Address, along with the City, State, and Zip code.
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.
If you do not have workers' compensation insurance, answer the additional questions regarding employee count and subcontractors.
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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Contractors Certificate of Workers Compensation Insurance
Contractors Certificate of Workers Compensation Insurance (Form 61A) be completed by the contractor. workers compensation coverage for work performed in
S.C. Code Regs. 67-1205 - Determining a Reasonable Fee
When unusual circumstances exist, the attorney may attach to the Form 61 a short memorandum supporting approval of a fee calculated on an hourly rate or byRead more
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