Upload Data To Legal Georgia Workers' Compensation Forms For Free

The Claims and Documents Processing Division includes Documents Processing, Data Entry, and Claims Examiners. The Georgia State Board of Workers' Compensation provides all forms, upon request, free of charge. To request paper copies of forms, please call (404) 656-3870. Effective 7/1/2023, the Board forms are available in a fillable format for printing or downloading a copy to your storage media. Fill out the WC-14 form as completely as possible. Include your name and address and the complete name and address of your employer and their insurance company. Complete a new Form WC-14 to add an additional employer, insurer or to add date of injury. If you need additional space, do not alter this form, but instead ... GA SBWC Claims Electronic Data Interchange (EDI) Release 3 Service Providers Registry*: The following register contains a link to a contact for known ... If you want the issue decided by an ALJ, you must file the 2 page WC-R1CATEE form. On the form, in the employment history section just type: WC-14 FILED. Should ... Immediately upon knowledge of an injury, an employer must complete and file with its insurer's or self-insurer's claims office, an Employer's First Report of ... Get the latest workers' compensation insurance forms for Georgia. Access common workers' comp forms Georgia, applications, guides and helpful manuals for ... To file a claim, you need to complete and file a WC-14, with the State Board of ... form to your employer and their workers' compensation insurance carrier.