State of Georgia Forms in Word
GEORGIA STATE BOARD OF WORKERS’ COMPENSATION FORMS
| Georgia Workers Comp Form No. | Georgia Workers Compensation Forms by Title | Price | Buy Now |
| WC-BOR | Bill of Rights (Revised 2007) |
$27.99 | |
| WC-BOR-Sp | Bill of Rights (Espanol) (Revised 2007) |
$27.99 | |
| WC-P1 | Panel of Physicians | $27.99 | |
| WC-P1Sp | Panel of Physicians (Espanol) | $27.99 | |
| WC-P2 | Conformed Panel Of Physicians | $27.99 | |
| WC-P2Sp | Conformed Panel Of Physicians (Espanol) | $27.99 | |
| WC-P3 | WC/MCO Panel | $27.99 | |
| WC-P3Sp | WC/MCO Panel (Espanol) | $27.99 | |
| WC-1 | Employer’s First Report of Injury | $27.99 | |
| WC-2 | Notice of Payment or Suspension of Benefits | $27.99 | |
| WC-2a | Notice of Payment or Suspension of Death Benefits | $27.99 | |
| WC-3 | Notice to Controvert | $27.99 | |
| WC-4 | Case Progress Report | $27.99 | |
| WC-6 | Wage Statement | $27.99 | |
| WC-10 | Notice of Election or Rejection of Workers’ Compensation Coverage | $27.99 | |
| WC-11 | Standard Coverage Form Group Self-Insurance Fund Members | $27.99 | |
| WC-12 | Request for Copy of Board Records | $27.99 | |
| WC-14 | Notice of Claim/Request for Hearing/Request for Mediation | $27.99 | |
| WC-14a | Request to Change Employee Information on a WC-14 | $27.99 | |
| WC-15 | Attorney Certification for No-Liability Stipulations | $27.99 | |
| WC-20a | Medical Report | $27.99 | |
| WC-25 | Application for Lump Sum/Advance Payment | $27.99 | |
| WC-26 | Consolidated Yearly Report of Medical Only Cases/Indemnity Cases | $27.99 | |
| WC-100 | Request for Settlement Mediation | $27.99 | |
| WC-102 | Request for Documents to Parties | $27.99 | |
| WC-102b | Notice of Representation | $27.99 | |
| WC-102c | Attorney Leave of Absence | $27.99 | |
| WC-102d | Motion/Objection to Motion | $27.99 | |
| WC-104 | Notice to Employee of Medical Release to Return to Work with Restrictions or Limitations | $27.99 | |
| WC-108a | Attorney Fee Approval | $27.99 | |
| WC-108b | Attorney Withdrawal/Lien | $27.99 | |
| WC-121 | Notice of Change of TPA/Servicing Agent | $27.99 | |
| WC-131 | Application for Permit to Write Insurance | $27.99 | |
| WC-131a | Annual Insurance Update | $27.99 | |
| WC-200a | Change of Physician/Additional Treatment by Consent | $27.99 | |
| WC-200b | Request/Objection for Change of Physician/Additional Treatment | $27.99 | |
| WC-205 | Request for Authorization of Treatment or Testing by Authorized Medical Provider | $27.99 | |
| WC-206 | Notice of Intent to Become a Party at Interest | $27.99 | |
| WC-207 | Authorization and Consent to Release Information | $27.99 | |
| WC-226a | Petition for Appointment of Temporary Guardianship of Minor(s) | $27.99 | |
| WC-226b | Petition for Appointment of Temporary Guardianship of Legally Incapacitated Adult | $27.99 | |
| WC-240 | Notice to Employee of Offer of Suitable Employment | $27.99 | |
| WC-240a | Job Analysis | $27.99 | |
| WC-243 | Credit | $27.99 | |
| WC-244 | Notice of Intent to Become a Party at Interest | $27.99 | |
| WC-262 | Wage Documentation of Temporary Partial Disability Payments | $27.99 | |
| WC-R1 | Request for Rehabilitation | $27.99 | |
| WC-R1CATEE | Employee’s Request for Catastrophic Designation | $27.99 | |
| WC-R2 | Rehabilitation Transmittal Form | $27.99 | |
| WC-R2a | Individualized Rehabilitation Plan | $27.99 | |
| WC-R3 | Request for Rehabilitation Closure | $27.99 | |
| WC-R5 | Request for Rehab Conference | $27.99 | |
| Rehab Objection | Rehab Objection | $27.99 | |
| Rehab Release | Catastrophic Rehab Release | $27.99 | |
| Change of Address | Request for Change of Address | $27.99 | |
| Subpoena | Subpoena | $27.99 |