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Filling out the WC-12 form is a straightforward process that allows users to request a copy of board records from the Georgia State Board of Workers' Compensation. This guide provides comprehensive steps to help you navigate each section of the form with confidence.

Follow the steps to complete the WC-12 form successfully.

1. Click the ‘Get Form’ button to obtain the form and open it for completion.
2. Begin by entering the board claim number in the designated field. This is essential for processing your request.
3. Fill in the employee's last name, first name, and middle initial. Ensure that all names are entered correctly to avoid any issues.
4. In section A, indicate the type of copies you are requesting by selecting either 'Current Case' or 'Priors' as applicable.
5. Enter the employee's Social Security Number and the date of injury in their respective fields to provide identifying details.
6. Proceed to section B where you will input the employer’s name and address. If the business name differs from their common name, include the doing business as (DBA) name.
7. Choose the type of copy you require — either 'Certified Copy' or specify another type in the 'Other' field.
8. In section C, certify by signing and dating the form to confirm that you have mailed copies to all relevant parties. Include your name, position (if applicable), and contact information.
9. After completing the form, review for accuracy. You can save your changes, download the form, print a hard copy, or share it electronically as needed.

Complete the WC-12 form online today to streamline your request for board records.