Common House Richmond
Incident Report & Worker’s Comp

  1. Complete the “Accident Incident Near Miss Report” within 48 hours.

  2. Complete the “Virginia First Report of Injury” form within 48 hours.

  3. If medical care is needed, please go to one of the following designated providers.
    Patient First Primary and Urgent Care – Carytown
    12 N Thompson St
    (804) 359-1337

    Carbon Health Urgent Care Richmond
    10 N Nansemond St. 
    (434) 201-2342

    VCU Medical Center – Emergency Room
    1213 E Clay St. 
    (804) 828-9000

3. Only file a Worker’s Comp Claim if medical care is received or a loss of wages occur. If you’re unsure if you should file a claim, contact the Human Resources Department. 

4. Forward any and all paperwork to Human Resources. Do NOT provide payment for any medical services. All are to be filed through our Worker’s Compensation Provider for payment.