The Termination of Wage Loss Award form (VWC Form No. 46) is the document a claim administrator files with the Virginia Workers’ Compensation Commission to officially end an injured worker’s open wage loss award when that worker returns to work at the pre-injury wage or is medically able to return to pre-injury work. It tells the state that the weekly checks should stop, and it does so without a hearing when everyone agrees.
This single page carries a lot of weight. If you fill it out wrong, the Commission can reject it, the open award stays in place, and the insurer may keep paying benefits that should have ended. The Commission processes thousands of award actions each year, and a 2024 rule revision was made in part because claimants kept signing the Award Agreement while leaving this termination form unsigned, leaving awards open by accident.
Here is what you will learn in this guide:
- 📋 What VWC Form No. 46 does and exactly who is supposed to complete it
- ✍️ How to fill in every box, line by line, with the correct format
- 👥 Three real-world filled-out examples using named people
- 📨 Every way to file the form and what proof to keep
- ⚠️ The field-level mistakes that get this form rejected and how to dodge them
What the Form Is and Who Must File It
VWC Form No. 46, the Termination of Wage Loss Award, is the official tool the Virginia Workers’ Compensation Commission uses to close out an open award for weekly wage loss benefits. Wage loss benefits include temporary total disability (TT) and temporary partial disability (TP), which Virginia law pays at two-thirds of the worker’s average weekly wage under Title 65.2 of the Code of Virginia. When the reason for those payments ends, the award must be formally terminated, or it stays open on the Commission’s records forever.
The claim administrator completes this form. A claim administrator is the insurance carrier, the third-party administrator, or a self-insured employer that manages the claim and cuts the checks. The injured worker is asked to sign too, but the official instructions state plainly that the worker’s signature is not a requirement for the form to be processed.
This form has one narrow job. It can only be used to terminate an outstanding award for two specific reasons: the worker returned to work at the pre-injury wage, or the worker is able to return to pre-injury work. If benefits are ending for any other reason, such as a refusal of light duty or a dispute over disability, the administrator must instead file an Employer’s Application for Hearing (VWC Form No. 5A). The Commission warns that the form may not be modified to fit a special case, or it will be rejected.
The agency that requires this filing is the Commission itself, acting under the Virginia Workers’ Compensation Act. The Act’s Section 65.2 Rule 3 requires that all agreements about workers’ compensation payments be put in writing and promptly filed. Filing Form No. 46 satisfies that duty when an award ends. The Commission has issued updated, fillable versions of this form and the related Award Agreement, with the most recent refresh announced in early 2026, so always confirm you are using the current edition before you start.
Before You Start: Documents and Information You Need
Gather everything before you open the form. A missing fact can stall the filing, and the Commission cross-checks the data on this form against its own records, so accuracy matters more than speed. The form is short, but each blank ties back to a document you should have in hand.
Here is the pre-filing checklist:
- Jurisdiction Claim Number. This is the Commission’s own file number for the claim, and without the right one the form cannot be matched to the open award. A wrong number can route your filing to the wrong case or get it bounced.
- Claim Administrator Number. This identifies the carrier or administrator on file with the Commission, and a mismatch raises a verification flag that slows processing.
- Injured worker’s full legal name. This must match the name on the existing award, because the Commission matches names against the open claim. A nickname or misspelling can cause a rejection.
- Injured worker’s current address and phone numbers. The Commission and the worker need accurate contact details, and a stale address means the worker may never see the order that closes the award.
- Employer’s name, address, and phone. These confirm the correct employer of record, and an error here muddies which employer the award belongs to.
- Date of injury. This anchors the entire claim, and the wrong date can point the form at the wrong injury for a worker with more than one claim.
- Pre-injury average weekly wage. This figure was set when the award began, and it must match the existing award exactly, because the return-to-work wage is measured against it.
- Return-to-work date and the new wage, or the medical release date. This is the heart of the form, and without the supporting date and wage the Commission has nothing to verify the termination against.
- Medical release documentation. If you are using reason B, a release to pre-injury work, you must attach the doctor’s release, and the form is rejected without it.
- Attorney contact information. If the worker has a lawyer, that lawyer’s name, address, and phone go on the form, and leaving it off can mean the attorney never gets notice of the closure.
Pull the original Award Agreement (VWC Form No. 4) and any Supplemental Agreements first. They hold the claim number, the average weekly wage, and the date of injury in the exact form the Commission expects.
Where to Get the Form and How to Access It
The only safe source for VWC Form No. 46 is the Commission’s own website. You can download the current fillable PDF from the Termination of Wage Loss Award form page, and it also appears on the master VWC Forms list alongside the Award Agreement and the Supplemental Agreement forms. The Commission announced updated fillable versions of both the Award Agreement and this termination form, so the newest edition can be typed on screen rather than printed and handwritten.
Do not pull this form from a random third-party document site. Older copies, such as the Rev. 10/08 version that still lists the Commission’s former DMV Drive address, float around the web and can carry outdated instructions or fields. Using a stale version risks rejection, since the Commission expects the current layout and will not accept a form that has been altered.
WebFile is the Commission’s online portal, and registered users can complete and upload the form straight through their account. If you are a regular filer, such as an insurance carrier or a defense firm, a WebFile account is the fastest route. You can learn how to register and use it through the WebFile information pages linked from the form’s own instructions. For anyone unsure which version applies or how to access the portal, the Commission’s toll-free line at 1-877-664-2566 and the email address Questions@workcomp.virginia.gov are staffed for help.
Step-by-Step: How to Fill Out VWC Form No. 46 Line by Line
Work through the form from top to bottom in the order the boxes appear. Every entry should be typed if you are using the fillable PDF, and dates throughout use the m/d/yyyy format the form itself prints next to each date field. Do not skip a box, and do not add extra language, because the Commission will reject a modified form.
1. Jurisdiction Claim Number
This box asks for the Commission’s own file number for the claim. It is the unique number the Commission assigned when the claim was first filed, and you copy it exactly from the original Award Agreement or any prior Commission order.
Type the number with no extra spaces or stray characters. For example, Maria Lopez has a claim number of VA00001234567, so her administrator types that string into the box.
The most common edge case is a worker with more than one claim. If your injured worker has two separate injuries, each has its own jurisdiction claim number, and you must use the one tied to the award you are closing. A common mistake is grabbing the claim number from the wrong injury, and the direct consequence is that the form posts to the wrong case while the award you meant to close stays open. People often think this number is the same as the carrier’s internal claim number, but it is not; this is the Commission’s number, and using the carrier’s number instead will cause the filing to fail matching.
2. Claim Administrator Number
This field asks for the number the Commission has on file for the carrier, third-party administrator, or self-insured employer managing the claim. It identifies who is responsible for paying and administering the benefits.
Enter the administrator number assigned by the Commission, copied from prior filings on the same claim. For example, Coastal Insurance Group uses administrator number 54321 on every form it submits.
The nuance here is that large carriers may hold several administrator numbers for different lines or regions, so use the one that appears on the existing award for this claim. A common mistake is entering a generic company code instead of the registered administrator number, and the consequence is a verification flag that delays the Commission’s review. Many filers wrongly believe this box is optional because the claim number already identifies the case, but the Commission uses both numbers together to confirm the filing comes from the proper administrator.
3. Injured Worker’s Name
This box asks for the full legal name of the person who was hurt and who has been receiving the wage loss benefits. Plain and simple, it is the worker whose award you are ending.
Write the name exactly as it appears on the original award, first and last name at minimum, and avoid nicknames. For example, the administrator types Maria Elena Lopez, not Mary Lopez, because the award lists her full legal name.
The edge case to watch is a name change after the injury, such as a marriage or divorce. Use the name on the existing award and note the current name only if your office’s practice requires it elsewhere, since the Commission matches against the award of record. A common mistake is entering a married name when the award still carries the maiden name, and the consequence is a mismatch that can stall processing. People often assume any version of the name will do, but the Commission cross-references the exact name on the open claim.
4. Injured Worker’s Address, City, State, and Zip
These fields ask where the injured worker currently lives. The Commission and the parties use this address to mail the order that confirms the award is closed.
Enter the worker’s current full mailing address, including street, city, state, and ZIP code. For example, Maria Elena Lopez lists 812 Maple Street, Norfolk, VA 23504.
If the worker uses a P.O. Box, enter the P.O. Box as the mailing address, since the Commission needs an address where mail will actually reach the worker. A common mistake is copying an old address from the original claim file, and the consequence is that the worker never receives the closure order and may later dispute that the award ended. Filers sometimes think the address does not matter because the worker is going back to work, but the Commission still mails official notice, and a bad address creates a paper-trail gap.
5. Home Phone and Work Phone
These boxes ask for the injured worker’s telephone numbers so the Commission or the parties can reach the worker with questions. Both a home and a work number are requested.
Enter each number with the area code in the standard format. For example, Maria Elena Lopez lists a home phone of (757) 555-0148 and leaves the work phone blank until her new job line is confirmed.
The nuance is that many workers use only a cell phone now, so put the cell number in the home phone field rather than leaving both blank. A common mistake is leaving both phone lines empty, and the consequence is that the Commission has no quick way to verify a detail and may slow the review. People sometimes believe phone numbers are filler, but they are part of how the Commission confirms the filing is genuine and current.
6. Employer’s Name, Address, City, State, Zip, and Phone
This section asks for the employer of record on the claim. It is the company the worker was employed by at the time of the injury.
Enter the employer’s legal business name and full address as they appear on the original award. For example, the administrator enters Tidewater Logistics LLC, 4400 Industrial Blvd, Chesapeake, VA 23320 with a phone of (757) 555-0200.
The edge case is a worker injured at a staffing agency placement, where the employer of record may be the staffing company rather than the host site. Use the employer named on the award. A common mistake is naming the worksite host instead of the legal employer, and the consequence is confusion over which employer the award belongs to. Filers often assume this is the worker’s current employer if they changed jobs, but it must be the employer tied to the injury and the award.
7. Date of Injury
This box asks for the exact date the work injury happened. It is the date that anchors the entire claim and award.
Enter the date in m/d/yyyy format, copied from the original award. For example, Maria Elena Lopez was hurt on 3/14/2024, so the administrator types 3/14/2024.
For an occupational disease rather than a sudden accident, use the date of injury already established on the award rather than guessing a new one. A common mistake is entering the date the worker reported the injury instead of the date it occurred, and the consequence is a mismatch with the award of record. People sometimes think any close date works, but even a one-day difference can break the match between this form and the open award.
8. Pre-Injury Average Weekly Wage
This field asks for the worker’s average weekly wage before the injury, the figure that the benefit rate was built on. It is the baseline the Commission uses to judge whether the worker has truly returned at the pre-injury wage.
Enter the dollar figure exactly as it was set on the original award. For example, Maria Elena Lopez had a pre-injury average weekly wage of $960.00, so the administrator enters $960.00.
The nuance is that the average weekly wage was calculated when the claim began, often from a 52-week wage history, so never recalculate it here; copy it. A common mistake is rounding or estimating this number, and the consequence is that the return-to-work wage comparison looks wrong and the Commission questions the termination. Filers often believe this is the worker’s new wage, but it is the pre-injury wage, and confusing the two undermines the whole form.
9. Reason for Termination: Box A or Box B
This is the core decision on the form. You must choose A or B, and only one, to state why the award is ending. Box A is for a return to work at the pre-injury wage; Box B is for a medical ability to return to pre-injury work.
For Box A, check it and enter the return-to-work date in m/d/yyyy format, confirming the wage equals or exceeds the pre-injury average weekly wage. For example, the administrator checks A and writes 5/12/2026 because Maria Elena Lopez returned to her old job at the same pay. For Box B, check it, enter the date the worker was able to return to pre-injury work, and attach the medical documentation supporting the release.
The edge case is a worker who returns at a wage below the pre-injury wage, which means partial disability may continue and neither box fits cleanly. In that situation you likely need a Supplemental Agreement, not this termination form. A common mistake is checking Box B without attaching the doctor’s release, and the consequence is automatic rejection, since the form states documentation supporting release must be attached. People often assume they can check both boxes to be safe, but the form says choose A or B, and marking both can void the filing.
10. Verification Statement
Below the boxes, the form carries a printed statement that the agreement is subject to verification by the Commission under the Virginia Workers’ Compensation Act. There is nothing to fill in here, but it matters.
You leave this line as printed and simply understand what it means. For example, when Coastal Insurance Group submits Maria’s form, it knows the Commission may check the stated return date against other records before entering the closure order.
The nuance is that verification means a false or sloppy entry can surface later, not just at filing. A common mistake is treating the form as final the moment it is filed, and the consequence is a reopened question if the Commission’s verification turns up a conflict. Filers sometimes believe a signed form is unchallengeable, but the printed text reserves the Commission’s right to verify every termination.
11. Signature of Injured Worker, Print Name, and Date
This block asks the injured worker to sign, print their name, and date the form to show they agree they returned to work or can return to pre-injury work. Signing confirms the worker accepts the stated facts.
The worker signs in ink or electronically, prints their full name, and enters the date in m/d/yyyy format. For example, Maria Elena Lopez signs, prints Maria Elena Lopez, and dates it 5/15/2026.
The key nuance, and a point the Commission stresses, is that the worker’s signature is not required for the form to be processed. A common mistake the Commission flagged in its 2024 rule change is that workers signed the Award Agreement but left this termination form unsigned, leaving awards open; the rule was adjusted to address that gap. People often believe an unsigned form is invalid, but it can still be filed and processed; what the worker cannot do is alter the form, because any modification leads to rejection.
12. Signature on Behalf of the Employer/Insurer, Print Name, and Date
This block asks the representative of the employer or insurer to sign, print their name, and date the form. This signature is the one that makes the filing official from the paying side.
An authorized representative of the carrier or self-insured employer signs, prints their name, and dates it in m/d/yyyy format. For example, claims adjuster David Chen signs for Coastal Insurance Group, prints David Chen, and dates it 5/15/2026.
The nuance is that the signer must have authority to act for the administrator, since this signature attests to the accuracy of the wage and date entries. A common mistake is leaving this block blank while focusing on getting the worker to sign, and the consequence is that the form lacks the one signature it truly needs and gets rejected. Filers sometimes think the worker’s signature carries the form, but it is the employer/insurer signature that anchors a no-hearing termination.
13. Print Name and Address of Claim Administrator and Phone Number
This field asks for the printed name, address, and phone number of the claim administrator handling the file. It identifies, in plain text, who the Commission contacts about the filing.
Type the administrator’s full name, mailing address, and phone number. For example, the administrator enters Coastal Insurance Group, P.O. Box 7700, Richmond, VA 23220, (804) 555-0190.
The nuance is that this should match the administrator number entered at the top of the form, so the printed contact and the coded ID line up. A common mistake is leaving this blank because the signature block was already filled, and the consequence is that the Commission has no clear contact for follow-up questions. People sometimes treat this as a duplicate of the signature line, but it serves as the official point of contact for the whole filing.
14. Print Name and Address of Injured Worker’s Attorney and Phone Number
This last field asks for the name, address, and phone number of the worker’s lawyer, if the worker has one. It ensures counsel gets notice of the award closure.
If the worker is represented, type the attorney’s full name, address, and phone. For example, the form lists Jennifer Hart, Esq., Hart & Reyes PLLC, 200 Granby St, Norfolk, VA 23510, (757) 555-0177.
The nuance is that if the worker has no attorney, you leave this blank rather than writing “none” in a way that alters the form. A common mistake is omitting a known attorney’s information, and the consequence is that counsel never receives notice and may later challenge the termination on due-process grounds. Filers often assume the attorney will find out anyway, but the Commission relies on this field to route notice to the right lawyer.
Three Filled-Out Examples Using Real Scenarios
These three scenarios show how different fact patterns flow through VWC Form No. 46. Each follows one named person from top to bottom.
Scenario 1 — Maria Lopez returns to her old job at the same wage (Box A). Maria, a warehouse worker, recovered and went back to her pre-injury job at the same pay.
| Form Section | What Maria’s Administrator Enters |
|---|---|
| Jurisdiction Claim Number | VA00001234567 |
| Claim Administrator Number | 54321 |
| Injured Worker’s Name | Maria Elena Lopez |
| Worker Address | 812 Maple Street, Norfolk, VA 23504 |
| Employer’s Name | Tidewater Logistics LLC |
| Date of Injury | 3/14/2024 |
| Pre-Injury Average Weekly Wage | $960.00 |
| Reason (A or B) | Box A checked; returned to work 5/12/2026 at equal wage |
| Employer/Insurer Signature | David Chen, Coastal Insurance Group, 5/15/2026 |
Scenario 2 — Marcus Reed is medically released to pre-injury work (Box B). Marcus, a delivery driver, was cleared by his doctor to return to full duty even though paperwork is still catching up.
| Form Section | What Marcus’s Administrator Enters |
|---|---|
| Jurisdiction Claim Number | VA00007654321 |
| Claim Administrator Number | 88990 |
| Injured Worker’s Name | Marcus T. Reed |
| Worker Address | 55 Birch Lane, Richmond, VA 23220 |
| Employer’s Name | James River Freight Inc. |
| Date of Injury | 7/02/2025 |
| Pre-Injury Average Weekly Wage | $1,140.00 |
| Reason (A or B) | Box B checked; able to return 4/20/2026; doctor’s release attached |
| Employer/Insurer Signature | Priya Nair, Old Dominion TPA, 4/22/2026 |
Scenario 3 — Janet Powell finishes a closed period of disability (separate form). Janet had two non-consecutive periods of temporary total disability, so her administrator files a separate Form No. 46 for the period that ended when she returned to work.
| Form Section | What Janet’s Administrator Enters |
|---|---|
| Jurisdiction Claim Number | VA00009988776 |
| Claim Administrator Number | 21200 |
| Injured Worker’s Name | Janet R. Powell |
| Worker Address | 330 Oak Court, Roanoke, VA 24011 |
| Employer’s Name | Blue Ridge Manufacturing Co. |
| Date of Injury | 1/09/2025 |
| Pre-Injury Average Weekly Wage | $845.50 |
| Reason (A or B) | Box A checked; returned to work 3/30/2026 at equal wage |
| Payment Summary at Bottom | TT paid 1/20/2025–3/29/2026, detailed by period |
How to File the Completed Form
Once every box is filled and the form is signed by the required parties, you can file it with the Commission through any of four channels. Choose the one that fits your office, and keep proof of submission no matter which you pick.
- Online (WebFile). Registered WebFile users upload the completed PDF directly through their WebFile account. There is no filing fee, the system confirms receipt instantly, and you should save the upload confirmation as your proof of filing. This is the fastest channel and the standard for carriers and law firms.
- Fax. Fax the complete form, with any medical release attached, to 804-823-6956. There is no fee, processing depends on the Commission’s intake queue, and you keep the fax transmission report as proof.
- Mail. Mail the completed form to the Virginia Workers’ Compensation Commission, 333 E. Franklin St., Richmond, VA 23219. There is no filing fee, mail processing is the slowest option, and you should send it by a tracked method and keep the tracking receipt as proof.
- In person. Bring the completed form to any VWC office location. There is no fee, intake is same-day, and you should ask for a date-stamped copy as your proof of filing.
There is no charge to file Form No. 46 through any channel, since it is an agreement filing rather than a contested action. If you are unsure which channel to use, the Commission’s Customer Assistance line at 1-877-664-2566 and the email Questions@workcomp.virginia.gov can guide you.
What Happens After You File
After the form arrives, the Commission reviews it against the open award and the claim record. The printed verification statement on the form means the Commission may confirm the return-to-work date, the wage, or the medical release before it acts. If everything matches and the form is complete and unmodified, the Commission enters an order terminating the wage loss award.
Once the award is terminated, the weekly checks stop as of the date stated on the form, and the closure becomes part of the official claim record. The parties receive notice of the order, which is why accurate addresses and the attorney’s contact information matter so much. For a Box B medical release filing, the attached documentation becomes part of that record and supports the termination if it is ever questioned.
Terminating the award does not erase the worker’s rights forever. Under Virginia’s change-in-condition rules described in the Commission’s statutes, a worker who becomes disabled again can file to reopen the claim, generally within two years of the last date compensation was paid under an award. That is why the form reminds the worker that future disability can reopen the claim within set limits. Closing the award now simply stops the current run of benefits; it does not settle or release the claim, which would require a separate settlement filing.
Mistakes to Avoid When Filling Out the Form
Each box on this form is its own chance to slip, and the Commission rejects forms that do not match the record or that have been altered. Watch for these specific errors.
- Using the carrier’s internal claim number instead of the Commission’s jurisdiction claim number, which sends the form to the wrong place or no place.
- Recalculating the pre-injury average weekly wage instead of copying it from the award, which makes the wage comparison look wrong.
- Checking both Box A and Box B, which contradicts the “choose A or B” instruction and can void the form.
- Checking Box B but forgetting to attach the medical release, which triggers automatic rejection.
- Entering the worker’s new wage in the pre-injury average weekly wage box, which corrupts the entire return-to-work analysis.
- Modifying or adding language to the form, which the Commission says will cause rejection.
- Using an outdated version pulled from a third-party site, which may carry old fields and the former DMV Drive address.
- Filing one Form No. 46 to cover two non-consecutive periods, when a separate form is required for each period.
- Leaving the employer/insurer signature block blank, which removes the one signature the filing actually needs.
- Copying a stale worker address, which means the worker never receives the closure order.
- Omitting the worker’s attorney information when the worker is represented, which can support a later due-process challenge.
- Using Form No. 46 when benefits are ending for a disputed reason, when an Employer’s Application for Hearing (Form No. 5A) is the correct path.
Do’s and Don’ts
A few habits keep this form clean and accepted on the first try.
Do:
- Do copy the claim number, wage, and date of injury straight from the original award, because the Commission matches them exactly.
- Do attach the doctor’s release whenever you check Box B, because the form is rejected without it.
- Do choose only one reason, A or B, because the form is built for a single basis.
- Do keep proof of filing from whatever channel you use, because it protects you if the filing is ever questioned.
- Do confirm you have the current fillable version, because the Commission rejects altered or outdated forms.
- Do enter the worker’s attorney information when one exists, because counsel must receive notice.
Don’t:
- Don’t modify the form’s language or layout, because any change leads to rejection.
- Don’t use this form for a disputed termination, because that requires Form No. 5A.
- Don’t estimate the average weekly wage, because the figure must match the award.
- Don’t combine non-consecutive periods on one form, because each period needs its own filing.
- Don’t rely on the worker’s signature to validate the form, because it is not required for processing.
- Don’t pull the form from an unofficial website, because old versions can get bounced.
Pros and Cons of Filing on Your Own vs. With Help
Many administrators file Form No. 46 themselves, while some claims, especially those with an attorney on the worker’s side, benefit from professional review. Here is how the two approaches compare.
Filing on your own (pros):
- It is faster, because you skip the back-and-forth with outside counsel on a routine closure.
- It costs nothing extra, since the form has no filing fee and you use in-house staff.
- It keeps simple Box A cases moving, because a clean return-to-work at equal wage is straightforward.
- It builds in-house familiarity, since adjusters learn the form for the next claim.
- It avoids delay on time-sensitive terminations, because you control the timing.
Filing with professional help (cons of going solo, pros of help):
- A lawyer catches whether a Box B release truly supports termination, which avoids a rejection.
- Counsel can tell when a Form No. 5A hearing is the right path instead, which avoids filing the wrong form.
- An attorney manages the represented-worker dynamic, since the worker’s lawyer may contest the closure.
- Professional review confirms the wage and dates match the award, which prevents verification flags.
- Help reduces the risk of leaving the award open by accident, which the 2024 rule change shows is a real and costly error.
Form No. 46 vs. Related VWC Forms
It helps to know when Form No. 46 is the right tool and when another form fits better. The table below sorts the most common confusions.
| Situation | Correct Form |
|---|---|
| Worker returns at pre-injury wage or is released to pre-injury work | Termination of Wage Loss Award (VWC Form No. 46) |
| Benefits ending for a disputed reason, such as refusal of light duty | Employer’s Application for Hearing (VWC Form No. 5A) |
| Starting a new award after a claim is accepted | Agreement to Pay Benefits (VWC Form No. 4) |
| Adding a later, non-consecutive period of benefits | Supplemental Agreement (VWC Form No. 4A) |
| Adding consecutive periods of temporary partial benefits | Supplemental Agreement for Varying TP (VWC Form No. 4G) |
| Paying a permanent partial award in a lump sum | Agreement for Settlement in a Lump Sum (VWC Form No. 12A) |
FAQs
Does the injured worker have to sign Form No. 46 for it to work?
No. The Commission’s instructions state that the worker’s signature is not a requirement for the form to be processed, though the worker is still invited to sign and agree to the stated facts.
Can I use this form if the worker returned at a lower wage?
No. Box A requires a wage equal to or greater than the pre-injury average weekly wage; a lower wage usually means partial disability continues and a Supplemental Agreement applies instead.
Do I write my own internal claim number in the Jurisdiction Claim Number box?
No. That box requires the Commission’s jurisdiction claim number from the award, not the carrier’s internal file number, or the form will fail matching.
Should I check both Box A and Box B to be safe?
No. The form says choose A or B, and marking both contradicts the instruction and can void the filing, so pick the single reason that fits.
Do I have to attach anything when I check Box B?
Yes. Box B requires documentation supporting the medical release to pre-injury work, and the form is rejected if that release is not attached.
Is the pre-injury average weekly wage the worker’s new wage?
No. That box is the wage the worker earned before the injury, copied from the award; the new wage is described only through the Box A return-to-work statement.
Can I file one form for two separate periods of disability?
No. When reporting multiple non-consecutive periods of compensation, a separate Termination of Wage Loss Award form must be filed for each period.
Is there a fee to file Form No. 46?
No. The Commission charges no filing fee for this agreement form through any channel, whether online, by fax, by mail, or in person.
Can I edit the form’s wording to fit my unusual case?
No. The Commission states the form may not be modified to meet a specific case, and a modified form will be rejected.
Does terminating the award end the worker’s claim for good?
No. Closing the award stops current benefits, but the worker may reopen the claim for a change in condition, generally within two years of the last award payment.
Can I use Form No. 46 when I’m ending benefits because of a dispute?
No. Disputed terminations require an Employer’s Application for Hearing (VWC Form No. 5A), since Form No. 46 only covers a return to work or a release to pre-injury work.
Do I need the worker’s attorney’s information if the worker has a lawyer?
Yes. The attorney’s name, address, and phone go in the final field so counsel receives notice of the closure and cannot later claim a lack of notice.
Is WebFile the only way to file this form?
No. You may file online through WebFile, by fax to 804-823-6956, by mail to 333 E. Franklin St., Richmond, VA 23219, or in person at any VWC office.
Can the Commission question my filing after I submit it?
Yes. The form’s printed text makes the agreement subject to verification by the Commission, so a wrong date or wage can surface during review even after filing.
Related reading
- How to Fill Out Virginia VWC Application for Hearing (w/Examples) + FAQs
- How to Fill Out Virginia VWC Award Agreement (w/Examples) + FAQs
- How to Fill Out Virginia VWC Claim for Benefits (w/Examples) + FAQs
- How to Fill Out Virginia VWC Employer’s First Report (w/Examples) + FAQs
- How to Fill Out Colorado WC Final Admission of Liability + FAQs
- How to Fill Out a Maryland WCC Settlement Agreement (w/Examples) + FAQs
- How to Fill Out California WCAB DWC-AD 1 (w/Examples) + FAQs