Get Georgia State Board Of Workers' Compensation 226a

Filling out the GEORGIA STATE BOARD OF WORKERS' COMPENSATION 226a form is an essential step for petitioners seeking temporary guardianship for minors in workers' compensation claims. This guide provides a clear and supportive framework for completing this form accurately and efficiently online.

Follow the steps to successfully complete the form.

1. Click ‘Get Form’ button to acquire the GEORGIA STATE BOARD OF WORKERS' COMPENSATION 226a form and open it in your preferred editor.
2. Begin by entering the board claim number, followed by the employee's last name, first name, middle initial (M.I.), social security number, and date of injury. This identifies the case and the parties involved.
3. Provide the employee's identifying information, including their address, county of injury, city, state, zip code, and email address. Make sure all details are accurate to avoid processing delays.
4. Fill out the petitioner's identifying information. Include the last name, first name, address, M.I., date of birth, city, state, zip code, social security number, county of residence, and petitioner's email. Confirm the relationship to the minor(s) and attach any necessary supporting documents.
5. List the names and dates of birth of the minor(s) for whom guardianship is being requested. Be clear and precise to ensure the correct individuals are referenced.
6. Indicate whether the minor child or children reside with the petitioner. Providing truthful information is crucial in this section.
7. Make a declaration that the petitioner seeks to be recognized as the natural guardian to manage workers’ compensation benefits for the minor(s).
8. Acknowledge the responsibility of holding and managing the property for the benefit of the minor(s). This underlines the legal accountability of the petitioner.
9. If applicable, complete the attorney's information section, including name, address, and Georgia Bar number.
10. Proceed to the verification section to attest that the facts in the petition are true. This includes signing in the presence of a notary public.
11. Complete the certificate of service to certify that a copy of the form has been provided to all parties involved, including the State Board of Workers' Compensation.
12. After completing all fields, review the form for accuracy. You can save changes, download, print, or share the form as needed.

Complete your documents online for a streamlined experience.