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Get the free WC-121 - State Board of Workers' Compensation - Georgia.gov - sbwc georgia

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WC-121 CHANGE OF TPA / SERVICING AGENT. GEORGIA ... AT 404-656-3818 OR 1-800-533-0682 OR VISIT http://www.sbwc.georgia.gov ... www.sbwc.georgia .gov/SCID to verify your number. 3.
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WC-121 is a form used to report workers' compensation information to the state board.
Employers are required to file WC-121 with the state board.
WC-121 can be filled out online or submitted in paper form with the required information about workers' compensation.
The purpose of WC-121 is to provide the state board with information about workers' compensation coverage for employees.
Information such as the number of employees, payroll information, and details of workers' compensation coverage must be reported on WC-121.
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