Get Ga Wc-14a 2007-2025

The GA WC-14a form is designed to facilitate requests for changing information on a previously filed GA WC-14 form. This guide will provide you with clear and concise instructions on how to accurately complete the form online.

Follow the steps to successfully complete the GA WC-14a form online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Fill in the Board Claim Number at the top of the form to identify your case.
3. Enter the employee's last name, first name, and middle initial to provide the necessary identification.
4. Input the employee's Social Security Number to ensure accurate record-keeping.
5. Specify the date of injury, as it is essential for processing the request.
6. In section A, indicate the information that needs to be changed. For each item (Employee Name, Social Security Number, Date of Injury, County of Injury), provide the original data in the 'Change From' column and the corrected data in the 'Change To' column.
7. In section B, make sure to certify that you have sent a copy of this form to all parties involved in the claim as well as to the State Board of Workers' Compensation. Fill in your name, address, city, state, zip code, GA Bar number (if applicable), and phone number.
8. Sign and date the form to validate your request.
9. Review the completed form for accuracy and clarity before submission.
10. Once finalized, save your changes, download a copy for your records, and follow the instructions for filing it with the State Board.

Ensure your records are accurate by completing the GA WC-14a form online today.