Workers' Compensation Employee's Report of Injury is a legal document that was released by the Georgia Department of Administrative Services - a government authority operating within Georgia (United States).
Q: What is the purpose of the Workers' Compensation Employee's Report of Injury?
A: The purpose of this report is for employees to report work-related injuries to their employer.
Q: Who is required to fill out the Workers' Compensation Employee's Report of Injury?
A: Any employee who sustains a work-related injury in Georgia is required to fill out this report.
Q: What information is required to be included in the report?
A: The report must include details about the injury, how it occurred, and any witnesses or treatment received.
Q: How soon should the report be completed?
A: The report should be completed as soon as possible after the injury occurs, preferably within 30 days.
Q: Who should the completed report be submitted to?
A: The completed report should be submitted to the employer or their designated representative.
Q: What are the consequences of not filing a report?
A: Failure to file a report may result in a denial of workers' compensation benefits.
Form Details:
Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the Georgia Department of Administrative Services.