Va Award Agreement

This form must be completed by the administrator if a right has been recognized as compensation and if the injured worker is entitled to an arbitration award. This award agreement shall form the basis for the award of compensation and shall contain sufficient information to identify the essential elements of a claim for compensation. For subsequent periods of compensation, this form must be used whenever the duration of the loss of wages and the compensation rate of the injured worker differ. For subsequent periods of temporary partial disability, box 1 and box 2 should only be used for periods of average loss of wages. « The contractor provides a Bill Scrubbing Software Suite commercial-off-the-shelf (COTS) solution with software access and/or enterprise-level licensing. . . .