Forms and Applications

Virginia Workers’ Compensation Acknowledgement of Compliance

Effective in 2017, the Virginia Workers’ Compensation Commission has changed procedures for contractors certifying compliance with the Code of Virginia §58.1-3714 and §58.1-3715 which are necessary prior to obtaining a local business license. The Virginia Workers’ Compensation Commission will issue a compliance acknowledgement number that must be provided to the business licensing authority when applying for or renewing a local business license. To obtain a Workers’ Compensation compliance acknowledgement number you may apply for the number at http://www.workcomp.virginia.gov/forms/certificate-workers-compensation… and follow these easy steps:

Complete the online Contractor’s Certificate of Workers’ Compensation Insurance Form 61A.
Submit the form online, print, save, or download the acknowledgement of compliance.
Provide a copy of the compliance acknowledgement number to the City of Richmond, Business Unit, room 103 when applying for or renewing the Business License.
The Virginia Workers’ Compensation Commission will continue to accept paper filings which will be handled manually and the acknowledgement will be returned to you by mail. If you have questions regarding this change in procedure or the requirements of the commission, you may contact the Virginia Workers Compensation insurance Department at http://www.vwc.state.va.us/content/insurance-department or (804) 205-3586.

All Finance forms are for the current year unless otherwise noted.

  • Admissions, Lodging & Meals Tax Coupon 
  • Closing A Business 
  • 2019 New Business License Application
  • Business License Renewal Application - 2019
  • Business License Renewal Application - 2018
  • Business License Renewal Application - 2017
  • Business License Renewal Application - 2016
  • Business Tangible Personal Property Tax Return - 2019
  • Business Tangible Personal Property Tax Return - 2018
  • Business Tangible Personal Property Tax Return - 2017
  • Business Tangible Personal Property Tax Return - 2016

  • Machinery & Tools Tax Return - 2019
  • Machinery & Tools Tax Return - 2018
  • Machinery & Tools Tax Return - 2017
  • Machinery & Tools Tax Return - 2016
  • Request for Motor Vehicle Reassessment - Based on Condition
  • Request for Motor Vehicle Reassessment - Based on High Mileage
  • Request for Motor Vehicle Assessment Correction 
  • Solid Waste & Recycling Fee Relief for the Elderly & Disabled Application and Information

 

  • Tax Relief for the Elderly & Disabled Application and Information
  • Tax Relief for the Elderly & Disabled - Recertification Form
  • Tax Relief Reinstatement Request Due to Hardship
  • Tax Relief - Authorization Form - 3rd Party or Consent 

 

  • Tax Escrow Payment Plan Application Form
  • Tax Escrow Payment Coupons

Risk Management Forms

  • TULIP Application Form

Workers' Compensation Claims

  • Duty Status Report
  • Treatment Authorization
  • Panel of Physicians
  • Employer's Accident Report
  • Supervisor's Report of Employee Injury

Auto and/or General Liability Claims

  • Accident On City Property
  • Duty Status Report
  • Vehicle Accident Supervisor Investigation
  • Vehicle Accident Report