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Georgia Forms

80 State Forms found

name	number	revision	print or send online
CONSOLIDATED YEARLY REPORT OF MEDICAL ONLY CASES AND ANNUAL PAYMENTS ON INDEMNITY CLAIMS	WC-26	REVISION 7/2023
CREDIT	WC-243	REVISION 7/2021
BILL OF RIGHTS FOR THE INJURED WORKER (Spanish)	WC-Bill of Rights	Revisión 07/2023
EMPLOYEE'S REQUEST FOR CATASTROPHIC DESIGNATION	WC-R1CATEE	REVISION 7/2022
GUIDELINES FOR SELF-INSURANCE FOR PRIVATE EMPLOYERS AND HOSPITAL AUTHORITIES	No Form Number	No Form/Rev Date
INDIVIDUALIZED REHABILITATION PLAN	WC-R2a	REVISION 7/2022
JOB ANALYSIS	WC-240a	REVISION 12/2018
Model Return to Work Program	No Form Number	July 2019
MOTION / OBJECTION TO MOTION	WC-102D	REVISION 7/2021
NOTICE OF CHANGE OF TPA / SERVICING AGENT	WC-121	REVISION 7/2024
REQUEST TO BECOME A PARTY AT INTEREST PURSUANT to O.C.G.A 34-9-206	WC-206	REVISION 7/2021
REQUEST TO BECOME A PARTY AT INTEREST PURSUANT TO O.C.G.A 34-9-244	WC-244	REVISION 7/2021
NOTICE OF PAYMENT OR SUSPENSION OF BENEFITS	WC-2	REVISION 7/2023
NOTICE OF PAYMENT OR SUSPENSION OF DEATH BENEFITS	WC-2a	REVISION 7/2023
NOTICE OF REPRESENTATION OF ANY PARTY OTHER THAN A CLAIMANT OR EMPLOYEE BY AN ATTORNEY	WC-102b	REVISION 12/2018

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Disclaimer: These forms may not be the most recent version. Georgia may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on this site. Please check official sources.

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