Virginia Department of Human Resource ManagementAn official website of the Commonwealth of Virginia Here's how you knowAn official websiteHere's how you know

Virginia Department of Human Resource Management

BA Forms

Benefits Administration

Plan Information

Enrolling and Making Changes

Agency Employee Event Form

Agency Request for Assistance Form

Appeals Form

HIPAA Authorization Form

Enrollment Forms

FRA Worksheet

Materials Order Forms:
- Commonwealth Materials Ordering Portal
- Aetna Materials Order Form
- Inspira Financial Materials Order Form
- Delta Dental Materials Order Form
- Kaiser: Call 202-823-2803 or email Joi.X.Alston@kp.org
- Sentara Health Plans Vantage HMO: Email order form to covamaterials@sentara.com
Prescription Drug Refill Exemption Request Form