Georgia Forms


 80 State Forms found

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EMPLOYER’S FIRST REPORT OF INJURY OR OCCUPATIONAL DISEASE

WC-1 REVISION 7/2021

MEDICAL REPORT

WC-20a REVISION 12/2018

NOTICE OF CLAIM

WC-14 REVISION 7/2022

ANNUAL INSURER UPDATE

WC-131a REVISION 7/2023

APPLICATION FOR LUMP SUM / ADVANCE PAYMENT

WC-25 REVISION 7/2022

APPLICATION FOR PERMIT TO WRITE INSURANCE

WC-131 REVISION 7/2023

Association Assessment Affidavit

No Form Number Return by March 1, 2025

ATTORNEY CERTIFICATION FOR NO LIABILITY STIPULATIONS

WC-15 REVISION 12/2018

ATTORNEY FEE APPROVAL

WC-108a REVISION 12/2018

ATTORNEY LEAVE OF ABSENCE

WC-102c REVISION 12/2018

ATTORNEY WITHDRAWAL - LIEN

WC-108b REVISION 7/2021

AUTHORIZATION AND CONSENT TO RELEASE MEDICAL INFORMATION

WC-207 REVISION 7/2024

BILL OF RIGHTS FOR THE INJURED WORKER

WC-BILL OF RIGHTS Revision 07/2023

CASE PROGRESS REPORT (File per Board Rule 61(b)5))

WC-4 REVISION 7/2021

CATASTROPHIC REHABILITATION SUPPLIER AUTHORIZATION AND CONSENT TO RELEASE INFORMATION

WC-CATASTROPHIC REHAB RELEASE REVISION 7/2021
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