Agreement For The Settlement Of An Award In A Lump Sum Or Partial Lump Sum {12A} | | Virginia

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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 {12A}

This is a Virginia form that can be used for Workers Compensation.

Alternate TextLast updated: 4/6/2007

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Agreement For The Settlement Of An Award In A Lump Sum Or Partial Lump Sum {12A}

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