Virginia Workers' Comp Claims Kit

How to report a workplace injury

Phone: (844) 581-0828

For life-threatening medical emergencies, call 911

Preferred method: Submit the claim information online here

Another option to report a claim is via e-mail within 24 hours of the incident (or as soon as possible):

E-mail: claims@pieinsurance.com

In the e-mail, include the following information:

• Name of business
• Policy Number
• Reporting party’s contact information (name, phone, e-mail)
• The name, phone and e-mail address of injured employee
• Date of incident
• Location of incident (address and/or city, state)
• Description of incident

VA Claim Form

Posting Notices

Prominently display the notice where each employee is likely to see the notice on a regular basis.

VA Posting Notice - English

VA Posting Notice - Spanish

VA Notice of Risk to Coal Miners Form

VA Claims and Adjucation Process

VA Workers' Comp Brochure

VA First Report of Injury Form

Reference Material

Virginia Workers’ Compensation Commission Website

What is the waiting period for lost wages in Virginia:

No lost time benefit payment is due for the first 7 days of disability unless the disability lasts longer than 21 days, then the first 7 days will be paid retroactively. Benefit eligibility begins with day 8 moving forward. Benefits are only payable for the first 7 day waiting period if the disability continues for more than 21 days.

If the employee is not paid wages for the entire day on which the injury occurred, the 7 day waiting period includes the date of injury regardless of the hour or time of the injury. Days need not be consecutive to count toward the waiting and retroactive periods. All days or parts of days when the injured employee is unable to earn a full day's wages, or is otherwise not paid a full day's wages, due to injury are counted in computing the waiting or retroactive periods even though the days may not be consecutive.