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Get Ga Wc-25 2018-2024

Pleted form, you must file any objection with the Board within 15 days of the date on the certificate of service (O.C.G.A. 9-11-6(e)). If no response is received within the 15 day period, the Board will assume that the request is unopposed. Send to the State Board of Workers' Compensation, 270 Peachtree Street, N.W., Atlanta, Georgia 30303-1299 Board Claim No. Employee Last Name Employee First Name M.I. Date of Injury A. IDENTIFYING INFORMATION County of Injury Mailing Address EMPLOYEE.

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