Get Wc 6

Filling out the WC-6 form is an essential step in submitting a wage statement for workers' compensation claims in Georgia. This guide will provide you with clear and concise instructions on how to complete the form effectively online.

Follow the steps to complete your WC-6 form accurately.

1. Click ‘Get Form’ button to access the form and open it in the document editor.
2. Enter the board claim number in the designated field at the top of the form.
3. Provide the employee's last name, first name, and middle initial (if applicable) in the appropriate fields.
4. Input the employee's social security number, ensuring accuracy and confidentiality.
5. Record the date of injury, including the month, day, and year.
6. Complete section A by filling in the county of injury, employee's address, email address, city, state, and zip code.
7. In section A, enter the employer's name, address, email address, city, state, and zip code.
8. Fill in the insurer or self-insurer information, including their name, claims office address, and SBWC ID number.
9. In section B, provide the required wage information for at least 13 weeks preceding the injury date, including the gross weekly earnings.
10. Complete the schedule of weekly earnings by entering data for each week, including the date range, number of days worked, gross amount paid, and any additional compensation.
11. Calculate and enter the total average weekly earnings at the end of section B.
12. In section C, type or print your name, sign the document, and provide the date.
13. Finally, ensure all sections are correctly filled. You can then save your changes, download the document, print it, or share it as necessary.

Complete your WC-6 form online today to ensure swift processing of your workers' compensation claim.