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Get Ga Wc-r1catee 2007
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How to fill out the GA WC-R1CATEE online
Filling out the GA WC-R1CATEE form is an essential step for employees seeking catastrophic designation under Georgia workers' compensation law. This guide provides a comprehensive walkthrough to ensure you complete the form accurately and efficiently.
Follow the steps to complete the form successfully.
- Press the 'Get Form' button to access the GA WC-R1CATEE form online and open it in your preferred form editor.
- Begin by entering your identifying information in Section 1. Fill in your employee last name, first name, middle initial, social security number, date of injury, occupation, county of injury, and birthdate.
- In Section 2, provide details if you are requesting the appointment of a specific board-registered catastrophic rehabilitation supplier. Include the name and registration number of the rehabilitation supplier.
- Section 3 must be completed for all requests. Indicate your education level and provide details of your work history for the past 15 years. For each job, outline the physical requirements, such as the number of pounds lifted or the duration of standing, sitting, or walking.
- Attach a statement from your authorized treating physician(s) that includes their opinion on your work ability. Ensure this statement is dated within one year prior to the certified mailing date of your completed form.
- Complete Section 4 for the certificate of service. Certify that you have mailed copies of the form to the necessary parties by filling in the date and your signature, along with the required addresses.
- Finally, in Section 5, acknowledge the procedure for objections. If there are no objections within 20 days, the board will issue a decision automatically.
- Review your completed form for accuracy. Then you can save changes, download, print, or share the form as needed.
Start filling out your GA WC-R1CATEE form online today!
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The average workers' compensation settlement in Georgia varies based on several factors, including the severity of the injury and associated medical costs. While it is challenging to pinpoint an exact figure, settlements typically fall within a range influenced by the specific circumstances of the case. Understanding these averages can assist in navigating claims and fulfilling GA WC-R1CATEE obligations effectively.
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