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WORKERS’ COMPENSATION HANDBOOK

GEORGIA STATE BOARD OF WORKERS COMPENSATION EMPLOYEE HANDBOOK Please be aware that the Workers COMPENSATION Law, Rules and Regulations are subject to change on July 1st of each year. If you have any questions about the information contained in this HANDBOOK , please contact your employer, adjuster, or the State Board of Workers COMPENSATION . July 2013 Our Pledge to Employees If you are injured on the job, you have certain rights, benefits and responsibilities. Your employer also has obligations and responsibilities regarding all employees.

If you are not working and it is determined that you have been capable of performing work with restrictions for 52 consecutive weeks or 78 aggregate weeks, your weekly income benefits will be reduced to two-thirds of your average weekly wage, but no more than the maximum allowed under the law, not to exceed 350 weeks. 7.

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EMPLOYER’S FIRST REPORT OF INJURY OR …

sbwc.georgia.gov

wc-1 employer’s first report of injury or occupational disease georgia state board of workers' compensation notice to employer if you have questions please contact the state board of workers’ compensation at 404-656-3818 or 1-800-533-0682 or visit http://www.sbwc.georgia.gov

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sbwc.georgia.gov

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sbwc.georgia.gov

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SUMMARY OF WORKERS' COMPENSATION PROVISIONS …

sbwc.georgia.gov

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sbwc.georgia.gov

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EMPLOYER’S FIRST REPORT OF INJURY OR OCCUPATIONAL …

sbwc.georgia.gov

If Section C is completed, your claim of injury has been denied by the employer/insurer. If you disagree with this denial, you must file a form WC-14, Notice of Claim, within one year of the accident with the State Board of Workers' Compensation, 270 Peachtree Street N.W., Atlanta, Georgia 30303-1299.

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GEORGIA STATE BOARD OF WORKERS' COMPENSATION

sbwc.georgia.gov

business address (month) (year) a copy of this form must be filed with your current workers' compensation carrier. if you do not have a carrier, and the business has 3 to 5 corporate officers or limited liability members and no employees, this form must be filed with the state board of workers' compensation at 270 peachtree street, n.w., atlanta, georgia 30303 -1299.

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