This is one of the official workers' compensation forms for the state of Georgia.
Georgia Request For Copy Of Board Records for Workers' Compensation
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Download a copy, print it, send it by email, or mail it via USPS—whatever works best for your next step.
Sign and collect signatures with our SignNow integration. Send to multiple recipients, set reminders, and more. Go Premium to unlock E-Sign.
If this form requires notarization, complete it online through a secure video call—no need to meet a notary in person or wait for an appointment.
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FAQ
The general rule in Georgia is that a claim for workers' compensation benefits must be filed within one year of the accident date or the right to compensation is barred, not two years as in other personal injury claims.
Medical. Surgical. Chiropractic. Acupuncture.
Workers' comp pay in Georgia is usually two-thirds of your average weekly salary, depending on how much you make and when your accident occurred. However, there are caps on the pay. You will only receive two-thirds of your average weekly wage if the payment is not more than $675.00 per week.
Georgia Workers' Comp Insurance Rates On average, Georgia businesses can expect to pay between $2.00 and $2.49 per $100 in payroll. Georgia workers' compensation rates are recommended by the National Council on Compensation Insurance (NCCI), which most states use as their rating bureau.
You must file a claim to protect your rights within one year from the date of your accident. This is accomplished by filing Form WC-14 with the State Board of Workers' Compensation. HOW DO I FILE A CLAIM? You may also obtain a Form WC-14 from the State Board of Workers' Compensation website www.sbwc.georgia.gov.
