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WC-1 EMPLOYER'S FIRST REPORT OF INJURY OR OCCUPATIONAL DISEASE GEORGIA STATE BOARD OF WORKERS' COMPENSATION EMPLOYER'S FIRST REPORT OF INJURY OR OCCUPATIONAL DISEASE NOTE: FAILURE TO SUBMIT THIS REPORT.

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The Workers' Compensation Act requires that we have 13 weeks of prior wage information whenever possible to determine the rate at which they will be paid. This form is included for the worker's convenience in requesting reimbursement for mileage incurred traveling to medical appointments in connection with the injury.

GEORGIA STATE BOARD OF WORKERS' COMPENSATION.

What Is the Georgia Workers' Compensation Waiting Period? Georgia has a seven day waiting period. This means that you will not receive benefits during the first week you miss work. You are entitled to weekly income benefits and the check should be mailed to you within 21 days after the first day you missed work.

WC-1, Employees' and Physicians' Report of Injury: To be completed by the injured employee and the medical provider. WC-3, Employers' Report of Injury: To be completed by the employer.

Wage Statement (Form WC-6) 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.

Estimated employer rates for workers' compensation in Georgia are $1.01 per $100 in covered payroll. Your cost is based on a number of factors, including: Payroll.

You are entitled to weekly income benefits if you are unable to work for more than 7 days. Your first check should be mailed to you within 21 days after the first day you missed work. If you miss more than 21 consecutive days, you will be paid for the first week.

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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