Do I need a notary for the Contractor’s Certification?

No. The certificate is signed and dated without a notary, and its instructions say not to attach any documents.

Who completes the contractor certification?

The contractor completes the form. It asks for the contractor’s business and license information, legal status, workers’ compensation insurance details or reason coverage is not required, and an authorized signature.

Should I attach insurance documents?

No. The form explicitly says not to attach any documents to the contractor’s certificate.

Grottoes, VA · Augusta County

No notary required

Contractor’s Certification of Insuring Liability for Workers’ Compensation in Virginia

Contractors complete this certificate to report how their workers’ compensation liability is insured when applying for or renewing a business license.

What this form is

This certificate reports how a contractor’s workers’ compensation liability is insured, or why coverage is not required. Contractors must complete and file it with each Virginia locality where they have applied for or are renewing a business license. It asks for business and license details, legal status, insurance or self-insurance information, and the signature and date of the applicant or authorized agent.

Who needs it

A contractor applying for or renewing a business license in Grottoes completes and files this certificate with the licensing locality.

How to submit it

Complete and file the certificate with each Virginia locality where you have applied for or are renewing a business license; present it to the licensing authority.

About notarization

This certificate is signed and dated without a notary; the form says not to attach any documents.

How to submit this form

1
Download The Certificate
Download the Contractor’s Certification of Insuring Liability for Workers’ Compensation in Virginia.
2
Complete The Form
Enter the contractor and business license information, select the legal status, and provide the applicable workers’ compensation insurance details or reason coverage is not required.
3
Sign And Date
The applicant or authorized agent signs, prints their name, and dates the certificate.
4
Submit To The Licensing Authority
File it with each Virginia locality where you have applied for or are renewing a business license. Do not attach documents.

Frequently asked questions

Do I need a notary for the Contractor’s Certification?: No. The certificate is signed and dated without a notary, and its instructions say not to attach any documents.
Who completes the contractor certification?: The contractor completes the form. It asks for the contractor’s business and license information, legal status, workers’ compensation insurance details or reason coverage is not required, and an authorized signature.
How do I submit the contractor certification?: File the completed certificate with each Virginia locality where you have applied for or are renewing a business license, and present it to the licensing authority.
Should I attach insurance documents?: No. The form explicitly says not to attach any documents to the contractor’s certificate.

Need something notarized?

This Contractor’s Certification of Insuring Liability for Workers’ Compensation in Virginia doesn’t need a notary — but if you have another Grottoes form that does, a commissioned online notary can help.