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Virginia Workers' Compensation Commission fax number

(804) 823-6956

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Claims Services Department

Used for: Submitting workers' compensation claim documents and medical reports; e.g., Attending Physician's Report (VWC Form 6) and other claim forms.

Fax destination details

Department
Claims Services Department
Purpose
Submitting workers' compensation claim documents and medical reports; e.g., Attending Physician's Report (VWC Form 6) and other claim forms.
Form
Form 6 — Attending Physician's Report
Address
333 E. Franklin St., Richmond, VA 23219
Voice phone
877-664-2566

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  • Keep the delivery confirmation with your submission records.

Physician completes Form 6 to document injury details, diagnosis, prognosis, disability period, and any permanent disability. The form may be filed online via WebFile, by mail, or by fax to the Commission.

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