Get Ga Wc-108b 2018-2025

The GA WC-108b form is a crucial document for attorneys representing claimants in workers' compensation cases in Georgia. This guide provides clear, step-by-step instructions to assist users in accurately completing the form online.

Follow the steps to successfully fill out the GA WC-108b form.

1. Press the ‘Get Form’ button to access the form and open it in your preferred online editor.
2. Begin by entering the Board Claim Number, followed by the employee's last name, first name, and middle initial in the corresponding fields.
3. Fill in the date of injury, ensuring the format is clear and correct.
4. In Section A (Notification to Claimant), provide appropriate details confirming your withdrawal from representation. Check the relevant boxes to certify that there are no pending reviews or scheduled hearings, or indicate any deadlines that exist.
5. Complete Section B (Claimant’s Attorney Notice of Lien / Incurred Expenses) by specifying the date of withdrawal, detailing the fair and reasonable value of your services, and listing any incurred expenses with supporting documentation attached.
6. Move to Section C (Notification to Employer/Insurer) and include the necessary notifications about your withdrawal from representation.
7. In Section D (Certificate of Service), confirm the truthfulness of your form by entering your name, phone number, mailing address, e-mail, city, state, zip code, and GA Bar number.
8. Review all entered information for accuracy and completeness before proceeding.
9. Finally, save any changes you have made, then download, print, or share the completed form as needed.

Start filling out your form online today to ensure a smooth process.