The Official Portal for the State of Georgia

GA SBWC Example Forms

WC-1

EMPLOYER'S FIRST REPORT OF INJURY OR OCCUPATIONAL DISEASE

WC-2

NOTICE OF PAYMENT/SUSPENSION OF BENEFITS

WC-2A

NOTICE OF PAYMENT/SUSPENSION OF DEATH BENEFITS

WC-3

NOTICE TO CONTROVERT

WC-4

CASE PROGRESS REPORT