COVID-19 Response: VRS is committed to serving you and continuing business operations during this challenging time. Latest Updates
All forms are fillable and ready for download and printing. VRS accepts all forms by mail or fax. Fax to: 804-786-9718. If on deadline when faxing a form, please call or email to alert VRS of its pending arrival. VRS does not accept forms via email, which is not a secure form of communication.
|Form #||Description||Last Updated||Link|
|VSDP-2||College and University Opt-Out Form||09/2011||Download|
|VRS-170||Authorization of Coverage Retention for the Long Term Care Plan (VSDP or VLDP)||01/2014||Download|
|VRS-171||Protection Against Unintentional Lapse of Long Term Care (VSDP or VLDP)||01/2014||Download|