Get Wc-4 Case Progress Report Georgia State Board Of Workers' Compensation Case Progress Report 0

Filling out the WC-4 Case Progress Report is essential for accurately reporting compensation claims. This guide will help you through the process of completing the form online with clarity and ease.

Follow the steps to complete the WC-4 Case Progress Report online.

1. Click ‘Get Form’ button to obtain the form and access it for completion.
2. Begin by entering the Board Claim Number at the top of the form. Select whether this is an Initial, Supplement, Final, or Reopened report.
3. Provide the employee's last name, first name, and middle initial. Make sure to fill in the Social Security Number accurately.
4. In the Identifying Information section, input the employee's name, SBWC ID number, insurer or self-insurer file number, and the date of the final weekly payment.
5. Include the employer's details in the designated section.
6. For the Payment Type section, select the relevant payment type by checking the appropriate box, such as Temporary Total or Permanent Partial.
7. In the Payments section, enter the actual amounts paid. Include total weekly benefits, physician benefits, hospital benefits, pharmacy benefits, and any other medical payments to date.
8. Indicate the total lost time payments and any applicable late payment penalties or assessed attorney's fees.
9. Fill in the Recovery Code, selecting the appropriate option for subrogation, overpayment, SITF, or other.
10. In the Remarks section, provide any additional comments or information relevant to the report.
11. Ensure accuracy by certifying that the total payments are correct as per available information. Sign the document, provide your printed name, date, and address, including email and phone number.
12. Review the completed form, then save any changes. You may also download, print, or share the form as necessary.

Complete your WC-4 Case Progress Report online today for streamlined processing.