Get the free ga form wc 26 - sbwc georgia

WC - 26 CONSOLIDATED YEARLY REPORT OF MEDICAL ONLY CASES / INDEMNITY CASES GEORGIA STATE BOARD OF WORKERS COMPENSATION ANNUAL PAYMENTS ON INDEMNITY CLAIMS st File on or before March 1 following each calendar year.

How to fill out ga form wc 26

1. To fill out GA Form WC-26, you should first gather all the required information. This includes the injured employee's personal details, such as their full name, address, social security number, and date of birth. Additionally, you will need the employer's information, including their name, address, and federal employer identification number.
2. Next, provide an accurate description of the injury or illness sustained by the employee. Include details about how the injury occurred, the date and time it happened, and the specific body part affected. You may also need to indicate whether medical treatment was given and if so, provide details of the medical provider.
3. Fill out the employment information section, which entails providing the date of employment, the employee's job title, and the average weekly wage earned prior to the injury. If the employee was previously injured or received workers' compensation benefits, this should also be documented accordingly.
4. On the form, specify the benefits sought by the employee. This may include temporary total disability benefits, temporary partial disability benefits, or permanent disability benefits. Indicate the dates from which these benefits are claimed if applicable.
5. The completed form must be signed and dated by both the injured employee and their employer. Additionally, the form needs to be notarized by a notary public or other authorized individual.

Who needs GA Form WC-26?

1. Employers in the state of Georgia need GA Form WC-26 to report any workplace injuries or illnesses experienced by their employees.
2. Injured employees who are seeking workers' compensation benefits in Georgia also need to submit GA Form WC-26 to initiate their claim and provide the necessary information for the evaluation process.

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What is ga form wc 26?

GA Form WC 26 is a document used in the state of Georgia for reporting workers' compensation claims.

Who is required to file ga form wc 26?

Employers who have employees that experience a work-related injury or illness are required to file GA Form WC 26.

How to fill out ga form wc 26?

To fill out GA Form WC 26, employers need to provide details about the employee, the incident, and any medical treatment received, ensuring all sections are completed accurately.

What is the purpose of ga form wc 26?

The purpose of GA Form WC 26 is to officially report and document work-related injuries or illnesses to facilitate workers' compensation claims and ensure compliance with state regulations.

What information must be reported on ga form wc 26?

Information that must be reported on GA Form WC 26 includes the employee's personal information, details of the injury or illness, the date of the incident, medical treatment provided, and employer's information.