Get Ga Wc-r1catee 2018-2025
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How to fill out the GA WC-R1CATEE online
The GA WC-R1CATEE form, known as the Employee's Request for Catastrophic Designation, is a crucial document for individuals seeking specific rehabilitation services following a workplace injury. This guide will provide detailed instructions on how to complete the form online, ensuring a smooth submission process.
Follow the steps to complete the GA WC-R1CATEE effectively.
- Press the ‘Get Form’ button to access the GA WC-R1CATEE online form and open it in your preferred editor.
- Begin by filling out the identifying information section. Include your last name, first name, occupation, and treating physician's name. Don't forget to provide the county of injury, date of injury, birthdate, physician’s specialty, and diagnosis, along with any secondary conditions.
- In the next section, specify your choice for the catastrophic rehabilitation supplier. Be sure to enter the correct name of the supplier you are requesting.
- Indicate your education level and include your registration number in the designated fields. It is essential to complete this section for all requests.
- Detail your work history for the past 15 years prior to your injury, including the physical requirements of each job. List the dates and job titles, accompanied by physical requirements such as pounds lifted and hours standing, sitting, or walking.
- Attach a statement from your authorized treating physician. This statement should indicate the physician’s opinion about your work ability and must be dated no more than one year before submitting the form.
- Complete the Certificate of Service section, certifying that you have sent copies of this request to all relevant parties, and fill in the corresponding mailing addresses and contact details.
- Finally, review all provided information carefully for accuracy. Save your changes, and prepare to download or print the completed form for submission.
Get started with your GA WC-R1CATEE online form today to ensure prompt processing of your request.
Yes, in Georgia, WCB, or Workers' Compensation Benefits, does have a waiting period, typically lasting seven days from the date of injury. However, if the employee continues to be disabled for over three weeks, benefits may be available from the first day of disability. Understanding the GA WC-R1CATEE ensures you are informed about your rights and potential delays. For comprehensive help, uslegalforms can guide you through the necessary documentation.
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