Get Ga Sbwc Wc-240 2021-2025

The GA SBWC WC-240 form is essential for notifying employees of job offers that are suitable for their impaired condition. This guide will walk you through the steps to fill out this form online, ensuring you provide all necessary information accurately.

Follow the steps to complete the GA SBWC WC-240 form online.

1. Press the ‘Get Form’ button to acquire the form and open it in your editing software.
2. Fill in the 'Board Claim No.' field at the top of the form. This number is essential for tracking your claim.
3. Provide the employee's last name, first name, and middle initial in the designated fields.
4. Enter the date of injury accurately, ensuring it reflects the actual date when the incident occurred.
5. Complete section A, where you will provide identifying information for both the employee and employer, including mailing addresses and contact phone numbers.
6. In section B, you will describe the job being offered. Include the title, essential duties, rate of pay, job location, hours and days to be worked, and the date and time to report for work.
7. Attach copies of the report(s) from authorized treating physician(s), which must approve the job as suitable for the employee's condition.
8. Review the conditions related to refusing the job offer and the implications on income benefits to ensure compliance.
9. Complete the Certificate of Service section by certifying that the job is available to the employee, and that copies of this form have been sent to both the employee and their counsel.
10. Provide your printed name, title, email, signature, mailing address, city, state, zip code, and date of signing.
11. Finally, save any changes made, and you may download, print, or share the completed form as needed.

Ensure you complete and submit the GA SBWC WC-240 form online for proper documentation of job offers.