Get Ga Wc-102 2018-2025
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How to fill out the GA WC-102 online
The GA WC-102 form is an essential document used in Georgia's workers' compensation process, allowing parties to request specific documents from one another. Filling out this form correctly is crucial to ensure compliance with board regulations and to facilitate the exchange of necessary information.
Follow the steps to successfully fill out the GA WC-102 online
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- Begin by entering the board claim number at the top of the form. This identifies your specific case and must be accurately completed.
- Fill in the employee’s last name, first name, and middle initial in the designated fields. Ensure that spelling is correct to avoid issues.
- In the identifying information section, provide details about the county of injury, mailing address, city, date of injury, state, and zip code.
- Next, input the names and mailing addresses of the employee, employer, insurer/self-insurer, and attorney for both the employee and the employer. Make sure to include city, state, and zip code for each.
- In section B, the employee must signify which documents are being requested from the employer/insurer by checking the appropriate boxes. Carefully review the list to ensure all relevant documents are included.
- If applicable, specify the wage records required for similarly situated employees by entering the necessary dates.
- For the employer/insurer's requests, indicate which documents are being requested from the employee/claimant in the provided section.
- Complete the certificate of service by certifying that copies of the document have been sent to the named parties. Print your name, sign the form, and provide the date of the certification.
- Once all fields are filled out correctly, save changes to the document. You can then download, print, or share the form as needed.
Complete your documents online swiftly and easily.
Applying for an OWCP schedule award involves submitting a claim through the Office of Workers' Compensation Programs. You will need to provide medical evidence detailing your injury and its impact on your daily activities. It’s recommended to gather all necessary documentation before initiating the process to streamline your application. Utilizing the resources available through USLegalForms can assist you in preparing your claim correctly.
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