Virginia > Workers Compensation

Agreement For The Settlement Of An Award In A Lump Sum Or Partial Lump Sum 12A - Virginia

Agreement For The Settlement Of An Award In A Lump Sum Or Partial Lump Sum Form. This is a Virginia form and can be used in Workers Compensation .
 Fillable pdf Last Modified 9/17/2009
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Agreement For The Settlement Of An Award In A Lump Sum Or Partial Lump Sum {12A}
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