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WC-104 NOTICE TO EMPLOYEE OF MEDICAL RELEASE TO RETURN TO WORK WITH RESTRICTIONS OR LIMITATIONS GEORGIA STATE BOARD OF WORKERS' COMPENSATION NOTICE TO EMPLOYEE OF MEDICAL RELEASE TO RETURN TO WORK
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What is wc 104 form?
WC 104 form is the official workers' compensation form used to report injuries and illnesses that occur on the job.
Who is required to file wc 104 form?
Employers are required to file the WC 104 form when an employee sustains a work-related injury or illness.
How to fill out wc 104 form?
To fill out the WC 104 form, you need to provide detailed information about the injured employee, the date and location of the incident, the nature of the injury or illness, and any witnesses present.
What is the purpose of wc 104 form?
The purpose of the WC 104 form is to gather necessary information about work-related injuries and illnesses for the purpose of workers' compensation claims and records.
What information must be reported on wc 104 form?
On the WC 104 form, you must report details such as the injured employee's personal information, description of the injury or illness, medical treatment received, and any witnesses.
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