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.
Note: VRS does not accept forms via email, which is not a secure form of communication.
|Form #||Title/Description||Last Updated||Download/Link|
|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|