Virginia Employer Non-Compliance Alert Webform Current Employer Information Violation Details Additional Information Investigation Certifications Documentation Review Complete Indicates required field Please provide the information requested below about the employer you are reporting. Employer Name Employer Tax ID Employer Address Address Address 2 City/Town State VirginiaAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming ZIP/Postal Code Job Site Location If the employer's address is not known, please provide a detailed description of the job site location. CAPTCHA
