Virginia Forms VA Employer Notice Poster VA Employers Accident Report (FROI) VA Wage Chart amputation_foot.pdf amputation_hand.pdf claimant's_affidavit.pdf form12a.pdf form3a.pdf form3b.pdf form4.pdf form45a.pdf form45g.pdf form46.pdf form4a.pdf form5.pdf form5a.pdf form6.pdf request_for_mediation.pdf