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Commonwealth of Virginia | Governor

Claimant Registration | Login
Rejection of Coverage Waiver
Important Message

For guidance to commonly reported issues, please click here.

We recognize that our users may use a variety of Internet Browsers. In order to provide you with the best experience possible, we recommend using Google Chrome or Internet Explorer (IE) 11. These browsers have been tested to ensure optimal usability.

NOTE: If you are using MS Edge you may experience problems preventing the Acknowledgement Letter from appearing when you have completed the 61A process. In order to resolve this MS Edge issue, you may need to choose another browser or you may need to use a different PDF viewer application and change your default PDF viewer to a compatible application such as Adobe Acrobat Reader DC, Foxit Reader, Sumatra PDF, or any other PDF viewer.

Here's how to change your default PDF reader in Windows 10:
  • Go to Start > Settings
  • Within the Settings app head to Apps > Default apps
  • Click on Choose default apps by file type and change the app association of the PDF file extension with an application of your choice (This can be another browser or a third-party PDF reader.)
The following links contain additional information on updating the default PDF reader:
Instructions

Dear Customer:

Please have the following information available in order to complete this form:

  • Name and Address of Corporation or LLC
  • Business FEIN (Federal Identification Number or Entity Identification Number)
  • SCC Entity ID # of business (Can be located by contacting the SCC at 1-866-722-2551 or on the web at www.scc.virginia.gov)
  • Officer/Manager information, including last four digits of SSN
  • Executive Officer Title
  • Documentation for Executive Officer titles of Manager/Other showing election or appointment in PDF format
  • Policy Information including complete and accurate insurance carrier, policy number, and policy period dates - Policy information must be on record with the Commission
  • Email address of Employer and Officer for E-signature
1st Step
Done