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WC-R2 REHABILITATION TRANSMITTAL FORM GEORGIA STATE BOARD OF WORKERS COMPENSATION Board Claim No. Employee Last Name Employee First Name SECTION 1 M. I. Social Security Number Date of Injury IDENTIFYING INFORMATION Occupation Catastrophic Injury EMPLOYEE County of Injury Birthdate Yes No Diagnosis Functional Restrictions Date last plans submitted / If expired give reason New Plan Expectation Date SECTION 2 REASON FOR REPORT ATTACHMENTS You must a...
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How to fill out dbhdd wc 6 wage:

01
Obtain the dbhdd wc 6 wage form from the appropriate source, such as the DBHDD website or your employer.
02
Fill in your personal information, such as your name, address, and contact details, in the designated fields.
03
Provide details about your employer, including their name, address, and contact information.
04
Enter the dates of your employment and the period for which the wage information is being reported.
05
List your job title and description, along with any relevant codes or classifications.
06
Specify your regular wage rate and any overtime or additional compensation received during the reported period.
07
Calculate the total wages earned during the specified period and fill in the corresponding field.
08
Indicate any deductions or withholdings from your wages, such as taxes or retirement contributions, in the appropriate section.
09
Sign and date the form to certify the accuracy of the information provided.

Who needs dbhdd wc 6 wage:

01
Individuals who have worked in a job covered by the Georgia Department of Behavioral Health and Developmental Disabilities (DBHDD) workers' compensation program.
02
Employers who are required to report wage information for their employees to the DBHDD for workers' compensation purposes.
03
Employees who are seeking compensation for a work-related injury or illness and need to submit the dbhdd wc 6 wage form as part of their claim.
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dbhdd wc 6 wage is a form used by the Georgia Department of Behavioral Health and Developmental Disabilities (DBHDD) to report wages paid to employees for workers' compensation purposes.
Employers in Georgia who have employees covered by workers' compensation insurance are required to file dbhdd wc 6 wage.
To fill out dbhdd wc 6 wage, employers need to provide information such as the employee's name, social security number, wages paid, and the period covered by the wage report.
The purpose of dbhdd wc 6 wage is to ensure accurate reporting of wages paid to employees for workers' compensation insurance purposes.
On dbhdd wc 6 wage, employers must report the employee's name, social security number, wages paid, and the period covered by the wage report.
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