We use cookies to improve security, personalize the user experience, enhance our marketing activities (including cooperating with our marketing partners) and for other business use.
Click "here" to read our Cookie Policy. By clicking "Accept" you agree to the use of cookies. Read less
Read more
Accept
Loading
Form preview
  • US Legal Forms
  • Form Library
  • More Forms
  • More Multi-State Forms
  • Ga Wc-205 2021

Get Ga Wc-205 2021-2025

WC205TREATMENT OR TESTING BY AUTHORIZED MEDICAL PROVIDERGEORGIA STATE BOARD OF WORKERS ' COMPENSATION REQUEST FOR AUTHORIZATION OF TREATMENT OR TESTING BY AUTHORIZED MEDICAL PROVIDER Standing Order.

How it works

  1. Open form

    Open form follow the instructions

  2. Easily sign form

    Easily sign the form with your finger

  3. Share form

    Send filled & signed form or save

How to fill out the GA WC-205 online

Filling out the GA WC-205 form is essential for authorized medical providers to request treatment or testing for injured employees. This guide will walk you through the process step-by-step, ensuring you have all the necessary information to complete the form effectively.

Follow the steps to complete the GA WC-205 form with ease.

  1. Click ‘Get Form’ button to access the GA WC-205 form and open it in your preferred editor.
  2. In Section 1, provide the identifying information of the patient, including their last name, first name, employer name, insurer or self-insurer name, adjuster, and contact numbers, along with the date of the injury.
  3. In Section 2, enter the ICD-10 code and CPT/DRG code for the requested treatment or testing. Specify the authorized medical provider who will conduct the treatment or testing, the requested procedures, and the reasons for these requests.
  4. Sign the form to certify that it has been faxed or emailed to the insurer or self-insurer. Be sure to include the date of submission, along with the authorized medical provider's contact information.
  5. Once completed, save your changes to the form. You may choose to download, print, or share the final document as needed.

Complete your GA WC-205 form online today to ensure accurate processing of treatment or testing requests.

Get form

Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.
Get form

Related content

wc-205 treatment or testing by authorized medical...
Advance authorization for the medical treatment or testing of an injured employee is not...
Learn more
Amended Provisions - The Reading Room
Georgia State University Law Review, WORKERS' COMPENSATION Workers' Compensation: Amended...
Learn more
Clinician's Guide to Assessing and Counseling...
agency (e.g., workers' compensation or office of retirement services) Some ... City of...
Learn more

Related links form

Form Safety Patrol 1995 Mutual Of Omaha Customer Access 2018 Mutual Of Omaha Eft Enrollment Form For Providers 2011 Mutual Of Omaha Change Of Beneficiary To Trust Form

Questions & Answers

Get answers to your most pressing questions about US Legal Forms API.

Contact support

Wage Statement (Form WC-6) The Form WC-6 Wage Statement provides you with the information that your employer is reporting about what you earned in the thirteen weeks before your injury. The wages included on this wage statement should be your gross earnings during the thirteen weeks before your injury.

OWCP Survivor Benefits – How Much Will I Receive? As a rule of thumb, you as the surviving spouse of a federal worker will receive 50 percent of their salary at their time of death. However, this figure can go all the way up to 75 percent if you have dependents such as children.

Permanent partial disability (PPD) benefits Type of injuryMaximum weeks of compensationVision loss in 1 eye150 weeksLoss of 1 hand160 weeksLoss of 1 arm or leg225 weeksTotal body disability300 weeks9 more rows

IF I DIE AS THE RESULT OF AN ON-THE-JOB ACCIDENT, WHAT BENEFITS WILL MY DEPENDENTS RECEIVE? Your dependents will receive two-thirds of your average weekly wage or a maximum of $725.00 per week for death on or after July 1, 2022. Your dependents are your surviving spouse, children, or dependent stepchildren.

The amount is two-thirds of the employee's average weekly wage at the time of the injury, not to exceed the maximum amount allowed under the law. For non-catastrophic injuries, there is a limit of 400 weeks of benefits from date of injury if the injury occurred on or after July 1, 1992.

When a worker is killed while on the job in Georgia, their surviving dependents may be eligible for workers' compensation death benefits including: Funeral and burial costs. Reasonable compensation for burial and funeral expenses should be provided to the surviving spouse or family, up to $7,500. Lost future income.

Death benefits are payments to a spouse, children or other dependents if an employee dies from a work-related injury or illness. This includes reasonable burial expenses, not exceeding $5,000 for injuries before Jan.

Have you actually paid the claimant workers' compensation benefits in Georgia? In Georgia, the subrogation lien is equal to the total amount of workers' compensation benefits actually paid in the claim. These may be income benefits, medical benefits, death benefits, or a workers' compensation settlement.

Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.
Get form
If you believe that this page should be taken down, please follow our DMCA take down processhere.

Industry-leading security and compliance

US Legal Forms protects your data by complying with industry-specific security standards.
  • In businnes since 1997
    25+ years providing professional legal documents.
  • Accredited business
    Guarantees that a business meets BBB accreditation standards in the US and Canada.
  • Secured by Braintree
    Validated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.
Get GA WC-205
Get form
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232