I believe I read somewhere you have to submit it to get an II? I think it said that in the email you get when you submit your secondary but I could be wrong
Edit: this is what it says in the app complete email: "If you are a Virginia resident and have not completed your Virginia In-state Educational Privileges form, please submit it as soon as possible to the University of Virginia Office of Virginia Status. If you plan to submit your VA Status Form by email, please include “School of Medicine” in the subject line. This form must be received prior to an interview."
kind of ambiguous but I would just do it asap to be safe if its applicable to you