Get Ga Wc-262 2018-2025
How it works
-
Open form follow the instructions
-
Easily sign the form with your finger
-
Send filled & signed form or save
How to fill out the GA WC-262 online
Filling out the GA WC-262 form is a crucial process for documenting temporary partial disability payments. This guide provides clear, step-by-step instructions to ensure you complete the form accurately, which is essential for receiving benefits.
Follow the steps to complete your GA WC-262 form online.
- Click ‘Get Form’ button to initiate the process of obtaining the GA WC-262 form and open it in an editing interface.
- Begin by filling in the Board Claim Number, followed by the employee's last name, first name, and middle initial. Ensure accuracy in spelling to avoid delays.
- Next, enter the Date of Injury and the County of Injury to provide context for the claim. This information is crucial for processing.
- In the EMPLOYER section, fill out the employer's name, mailing address, phone number, city, state, and zip code. Include the employer's email address for correspondence.
- Proceed to the INSURER/SELF-INSURER section. Enter the name of the insurer and their email address, ensuring that all contact information is correct.
- For the CLAIMS OFFICE section, provide the name of the claims office, mailing address, phone number, city, state, and SBWC ID number.
- Under the TEMPORARY PARTIAL DISABILITY BENEFITS section, specify the Start Date and End Date of the benefits period. This helps establish the timeframe for the payments.
- Fill in the Average Total Gross Weekly Wage Earnings and calculate the Difference (Weekly Wage – Gross Earnings). This calculation is key to determining the payment due.
- Now, compute the Payment, which is the Difference multiplied by 2/3, ensuring it does not exceed the maximum stated in O.C.G.A. §34-9-262.
- Total the payments listed in the designated fields to provide a summary of the benefits being reported.
- Sign the certification by confirming that all provided information is accurate to the best of your knowledge. Also, include your printed name, email, and the date.
- Review all sections for accuracy and completeness before submitting. Ensure that you retain a copy for your records.
- Finally, save your changes, download, print, or share the form as needed for submission.
Complete your GA WC-262 form online today to ensure timely processing of your benefits.
It is unlawful for employers to fire an employee for filing a workers' compensation claim in Georgia, including under GA WC-262. Job security is protected while recovering from an injury, provided the employee follows proper procedures. However, if your absence impacts your job performance, employers may take action in other circumstances. Understanding your rights can make a difference, and you can use resources like USLegalForms for support during this time.
Industry-leading security and compliance
-
In businnes since 199725+ years providing professional legal documents.
-
Accredited businessGuarantees that a business meets BBB accreditation standards in the US and Canada.
-
Secured by BraintreeValidated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.