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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.

employer Virginia Sickness and Disability Forms
Form #DescriptionLast UpdatedDownload
VSDP-2 College and University Opt-Out Form 09/2011
VRS-170 Authorization of Coverage Retention for the Long Term Care Plan (VSDP or VLDP) 01/2014
VRS-171 Protection Against Unintentional Lapse of Long Term Care (VSDP or VLDP) 01/2014

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