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WC-121 CHANGE OF TPA / SERVICING AGENT GEORGIA STATE BOARD OF WORKERS' COMPENSATION NOTICE OF CHANGE OF TPA / SERVICING AGENT The purpose of this form is to notify the Board of a change in the TPA/Servicing.

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The Form WC-6 Wage Statement provides you with the information that your employer is reporting about what you earned in the thirteen weeks before your injury. The wages included on this wage statement should be your gross earnings during the thirteen weeks before your injury.

Your annual gross pay prior to occupational injury divided by 52 weeks equals your average weekly wage (AWW). Your AWW is then multiplied by two-thirds (. 6667) to get your indemnity benefits compensation rate. In Georgia, there is a cap of $675 per week for temporary total disability benefits.

GEORGIA STATE BOARD OF WORKERS' COMPENSATION.

The compensation rate is typically equal to 2/3 (66.67%) of your weekly wages during the injured period. However, each case is unique and will vary based on the severity of injuries wages, and other factors.

Officers and LLC Members who are not excluded from coverage must utilize a minimum payroll of $62,400 and a maximum payroll of $254,800 for the purpose of rating premium.

The law requires any business with three or more workers, including regular part-time workers, to have workers' compensation insurance. Coverage can be verified by going to .sbwc.georgia.gov and in the Popular Topics box click on “verify workers' compensation insurance coverage”.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232