Get Comprejection

Filling out the Comprejection form is a crucial step for businesses in Georgia when deciding on workers' compensation coverage. This guide provides clear, step-by-step instructions to assist users in completing the form accurately and efficiently.

Follow the steps to complete the Comprejection form online.

1. Click ‘Get Form’ button to access the form and open it in the editor.
2. In section A, for corporations or limited liability companies, provide your name, the name of the employer, your office held, and the business address. If you choose to reject coverage, check the appropriate box and include the date if revoking a previous rejection.
3. In section B, for sole proprietors or partners, input your name, identify your role as either sole proprietor or partner, and provide the business name. If electing for coverage, ensure that you check the corresponding option and note the date if revoking a previous election.
4. In section C, for farm labor employers, enter your name and the business name you represent. Check the option to provide workers' compensation coverage for farm laborers, and include the date if revoking a prior election.
5. In section D, certify that the information is correct by printing your name and providing your business phone number along with your signature and business address. Also, include the date and ensure a notary section is completed.
6. Once all sections are completed, save your changes. You may then choose to download, print, or share the form as necessary. Ensure that a copy of the completed form is filed with your current workers' compensation carrier.

Complete your Comprejection online today to ensure your business's compliance with workers' compensation laws.