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Fill and Sign the Supplementary Report Form

Fill and Sign the Supplementary Report Form

How it works

Open the document and fill out all its fields.
Apply your legally-binding eSignature.
Save and invite other recipients to sign it.

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Claim No       Case of       1. Name of employer       , 2. Address       , 4. Date of death       , 6. Address            5. Name of employee       a.       b.       c.       d.       e.       f.       g.                                                                                                                                     8. Immediate cause of death             9. If employee left no dependents, give name and address of nearest relative             10. Did you authorize burial expenses?             11. Name and address of undertaker       Date of this report       Corporate or firm name       Signed       Official Title       VWC #3-B THE USE OF THIS FORM IS REQUIRED UNDER THE PROVISIONS OF THE WORKERS' COMPENSATION ACT. COMMONWEALTH OF VIRGINIA VIRGINIA WORKERS' COMPENSATION COMMISSION 1000 DMV DRIVE RICHMOND, VIRGINIA 23220 SUPPLEMENTARY REPORT FOR FATAL ACCIDENTS(A first report of accident must also be made in every case.) 3. Date of accident- 7. Dependents: NAM E DATE OF BIRTH RELATIONSHI P PRESENT ADDRESS If so, for what amount? NOTE.-Every question must be answered. Report must be signed by employer or his duly authorized agent. The Commission will not accept copies, or reports signed on typewriter.

Useful suggestions for preparing your ‘Supplementary Report’ online

Are you fed up with the inconvenience of managing paperwork? Look no further than airSlate SignNow, the top eSignature platform for individuals and businesses. Bid farewell to the exhausting routine of printing and scanning documents. With airSlate SignNow, you can effortlessly complete and sign documents online. Utilize the robust features provided by this user-friendly and cost-effective platform and transform your approach to document handling. Whether you need to approve forms or gather signatures, airSlate SignNow manages everything seamlessly, needing only a few clicks.

Adhere to this detailed guide:

  1. Sign in to your account or initiate a complimentary trial with our service.
  2. Click +Create to upload a file from your device, cloud storage, or our form repository.
  3. Open your ‘Supplementary Report’ in the editor.
  4. Click Me (Fill Out Now) to set up the form on your end.
  5. Insert and designate fillable fields for other stakeholders (if needed).
  6. Proceed with the Send Invite settings to request eSignatures from others.
  7. Download, print your version, or convert it into a reusable template.

Don’t fret if you need to work with your coworkers on your Supplementary Report or send it for notarization—our solution provides everything you require to complete such activities. Sign up with airSlate SignNow today and enhance your document management to a higher level!

Here is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

Need help? Contact Support

The best way to complete and sign your supplementary report form

Save time on document management with airSlate SignNow and get your supplementary report form eSigned quickly from anywhere with our fully compliant eSignature tool.

How to Sign a PDF Online How to Sign a PDF Online

How to complete and sign documents online

In the past, coping with paperwork required pretty much time and effort. But with airSlate SignNow, document management is quick and simple. Our robust and easy-to-use eSignature solution lets you easily complete and electronically sign your supplementary report form online from any internet-connected device.

Follow the step-by-step guidelines to eSign your supplementary report form template online:

  • 1.Register for a free trial with airSlate SignNow or log in to your account with password credentials or SSO authorization option.
  • 2.Click Upload or Create and add a file for eSigning from your device, the cloud, or our form library.
  • 3.Click on the file name to open it in the editor and use the left-side menu to fill out all the empty fields properly.
  • 4.Place the My Signature field where you need to eSign your form. Type your name, draw, or upload an image of your handwritten signature.
  • 5.Click Save and Close to finish editing your completed form.

As soon as your supplementary report form template is ready, download it to your device, export it to the cloud, or invite other parties to eSign it. With airSlate SignNow, the eSigning process only requires several clicks. Use our robust eSignature solution wherever you are to manage your paperwork efficiently!

How to Sign a PDF Using Google Chrome How to Sign a PDF Using Google Chrome

How to complete and sign documents in Google Chrome

Completing and signing documents is simple with the airSlate SignNow extension for Google Chrome. Adding it to your browser is a fast and productive way to manage your paperwork online. Sign your supplementary report form sample with a legally-binding eSignature in a few clicks without switching between tools and tabs.

Follow the step-by-step guidelines to eSign your supplementary report form template in Google Chrome:

  • 1.Navigate to the Chrome Web Store, search for the airSlate SignNow extension for Chrome, and add it to your browser.
  • 2.Right-click on the link to a form you need to sign and choose Open in airSlate SignNow.
  • 3.Log in to your account with your credentials or Google/Facebook sign-in option. If you don’t have one, you can start a free trial.
  • 4.Utilize the Edit & Sign toolbar on the left to fill out your sample, then drag and drop the My Signature field.
  • 5.Add an image of your handwritten signature, draw it, or simply enter your full name to eSign.
  • 6.Make sure all information is correct and click Save and Close to finish modifying your form.

Now, you can save your supplementary report form template to your device or cloud storage, send the copy to other individuals, or invite them to electronically sign your document via an email request or a secure Signing Link. The airSlate SignNow extension for Google Chrome improves your document processes with minimum time and effort. Start using airSlate SignNow today!

How to Sign a PDF in Gmail How to Sign a PDF in Gmail How to Sign a PDF in Gmail

How to complete and sign documents in Gmail

When you get an email containing the supplementary report form for signing, there’s no need to print and scan a document or download and re-upload it to a different program. There’s a better solution if you use Gmail. Try the airSlate SignNow add-on to promptly eSign any documents right from your inbox.

Follow the step-by-step guidelines to eSign your supplementary report form in Gmail:

  • 1.Navigate to the Google Workplace Marketplace and find a airSlate SignNow add-on for Gmail.
  • 2.Set up the tool with a related button and grant the tool access to your Google account.
  • 3.Open an email with an attached file that needs signing and use the S sign on the right panel to launch the add-on.
  • 4.Log in to your airSlate SignNow account. Choose Send to Sign to forward the file to other parties for approval or click Upload to open it in the editor.
  • 5.Place the My Signature field where you need to eSign: type, draw, or upload your signature.

This eSigning process saves efforts and only requires a couple of clicks. Use the airSlate SignNow add-on for Gmail to update your supplementary report form with fillable fields, sign documents legally, and invite other individuals to eSign them al without leaving your mailbox. Improve your signature workflows now!

How to Sign a PDF on a Mobile Device How to Sign a PDF on a Mobile Device How to Sign a PDF on a Mobile Device

How to complete and sign forms in a mobile browser

Need to quickly fill out and sign your supplementary report form on a mobile phone while doing your work on the go? airSlate SignNow can help without needing to install extra software apps. Open our airSlate SignNow tool from any browser on your mobile device and create legally-binding electronic signatures on the go, 24/7.

Follow the step-by-step guide to eSign your supplementary report form in a browser:

  • 1.Open any browser on your device and follow the link www.signnow.com
  • 2.Sign up for an account with a free trial or log in with your password credentials or SSO option.
  • 3.Click Upload or Create and add a file that needs to be completed from a cloud, your device, or our form library with ready-made templates.
  • 4.Open the form and complete the blank fields with tools from Edit & Sign menu on the left.
  • 5.Put the My Signature field to the form, then enter your name, draw, or upload your signature.

In a few easy clicks, your supplementary report form is completed from wherever you are. As soon as you're finished editing, you can save the file on your device, generate a reusable template for it, email it to other people, or ask them to eSign it. Make your documents on the go fast and effective with airSlate SignNow!

How to Sign a PDF on iPhone How to Sign a PDF on iPhone

How to complete and sign paperwork on iOS

In today’s business world, tasks must be completed rapidly even when you’re away from your computer. Using the airSlate SignNow mobile app, you can organize your paperwork and sign your supplementary report form with a legally-binding eSignature right on your iPhone or iPad. Set it up on your device to conclude agreements and manage forms from anyplace 24/7.

Follow the step-by-step guidelines to eSign your supplementary report form on iOS devices:

  • 1.Go to the App Store, search for the airSlate SignNow app by airSlate, and set it up on your device.
  • 2.Launch the application, tap Create to upload a template, and choose Myself.
  • 3.Opt for Signature at the bottom toolbar and simply draw your signature with a finger or stylus to eSign the form.
  • 4.Tap Done -> Save after signing the sample.
  • 5.Tap Save or utilize the Make Template option to re-use this paperwork in the future.

This method is so simple your supplementary report form is completed and signed in a few taps. The airSlate SignNow application works in the cloud so all the forms on your mobile device are kept in your account and are available whenever you need them. Use airSlate SignNow for iOS to boost your document management and eSignature workflows!

How to Sign a PDF on Android How to Sign a PDF on Android

How to complete and sign documents on Android

With airSlate SignNow, it’s easy to sign your supplementary report form on the go. Set up its mobile application for Android OS on your device and start enhancing eSignature workflows right on your smartphone or tablet.

Follow the step-by-step guidelines to eSign your supplementary report form on Android:

  • 1.Go to Google Play, find the airSlate SignNow app from airSlate, and install it on your device.
  • 2.Sign in to your account or register it with a free trial, then import a file with a ➕ button on the bottom of you screen.
  • 3.Tap on the imported file and select Open in Editor from the dropdown menu.
  • 4.Tap on Tools tab -> Signature, then draw or type your name to electronically sign the form. Complete empty fields with other tools on the bottom if necessary.
  • 5.Use the ✔ button, then tap on the Save option to end up with editing.

With an intuitive interface and total compliance with major eSignature laws and regulations, the airSlate SignNow application is the best tool for signing your supplementary report form. It even operates offline and updates all form modifications when your internet connection is restored and the tool is synced. Complete and eSign forms, send them for approval, and generate re-usable templates anytime and from anyplace with airSlate SignNow.

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