Get Wc-131 Permit To Write Insurance Georgia State Board Of Workers' Compensation Permit To Write

Filling out the WC-131 Permit to Write Insurance form is a crucial step for insurers seeking to obtain permission from the Georgia State Board of Workers' Compensation. This guide provides clear, step-by-step instructions to help users navigate the online process with ease.

Follow the steps to successfully complete the WC-131 form online.

1. Press the ‘Get Form’ button to access the WC-131 form, enabling you to fill it out in the online editor.
2. Complete Section A by entering the corporate or administrative office details. Provide the name of the carrier as it appears on the permit, along with the Federal Employer Identification Number (FEIN), address, city, state, title, zip code, toll-free phone number, and the primary and secondary email addresses for licensure and assessment.
3. In Section B, specify where the Georgia Workers' Compensation Claims will be handled. Fill out the details of the servicing agent or third-party administrator, including their FEIN, address, city, state, title, toll-free telephone number, primary and secondary email addresses for claims handling, and the number of adjusters handling claims. Include the number of locations or offices handling Georgia claims.
4. If the addresses in Sections A and B are outside Georgia, complete Section C. Here, provide information about the Georgia Agent, including their company name, contact person, mailing address, city, state, zip code, and telephone number, ensuring they are able to execute payments and have check-writing authority.
5. Complete the signature section at the end of the form. Indicate the date of signing, enter the name of the company and the individual completing the application, and provide their email address and telephone number. Make sure the submitter signs the form.
6. After completing the form, you can save your changes, download the document, print it out, or share it as needed.

Start filling out your WC-131 Permit to Write Insurance form online today for a smooth application process.