You must file a form WC-14 Notice of Claim within one year of the accident with the State Board of Workers Compensation 270 Peachtree Street N.W. Atlanta Georgia 30303-1299. EMPLOYER S FIRST REPORT OF INJURY OR OCCUPATIONAL DISEASE WC-1 GEORGIA STATE BOARD OF WORKERS COMPENSATION NOTE FAILURE TO SUBMIT THIS REPORT TO INSURER IMMEDIATELY MAY RESULT IN PENALTY. Sbwc.georgia.gov WILLFULLY MAKING A FALSE STATEMENT FOR THE PURPOSE OF OBTAINING OR DENYING BENEFITS IS A CRIME SUBJECT TO PENALTIES OF...
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Hello my name is Jason Perkins I'm a Georgia worker's compensation attorney I'd like to welcome you to another editionof my Georgia Worker's Compensation video series where I provide you helpful informationabout the rules and benefits of Georgia Worker's Compensation law Today I'm going to talk to you about oneof the worker's compensation forms they you may receive in your case if you've sufferedan injury at work It's called a WC-1 Before I jump into that be sure and be onthe lookout for my next video in this series about the form WC-2 which is another formthat you may receive in your worker's compensation case Now let's discuss the form WC-1 Basically its an accident report or injuryreport that your employer and the insurance company complete after you report an injuryat work The top half of the form is basically informationthat your employer fills in If you go to your employer and tell them thatyou've suffered an injury at work they're going to take some information from you aboutwhen you were injured what type of injury you suffered what happened to you what problemsyou're having They're going to provide information on thereabout what your wages are that sort of information and some contact information on you as well Basically when they get this information fromyou they fill out the form WC-1 top section of it and then they send it over to the worker'scompensation insurance company The worker's compensation insurance companyhas then been notified that you've had an injury at work and that they need to makea decision about whether they're going to agree and pay you benefits or whether they'regoing to dispute that injury and controvert or deny your claim The bottom portion of the form is informationthat's completed by the insurance company There's basically a couple of sections One talks about what they do if they agreeyou got injured at work and they're going to pay you benefits It has information about when your benefitsare going to start how much per week that they're paying you on there If they complete that section of the formand you see that then you know if your claim has been accepted and if they're paying benefits It may that they're paying for a limited periodof time before you go back to work or may indicate that your benefits are going to continue Now at the very bottom of the form is a sectionthat they can complete if they are denying your claim The fancy word for denial in Georgia worker'scompensation is controvert If you see that section of the from completedthat they controverted your claim on the basis the most common one you'll see isthat you did not suffer an injury arising out of or in the course of your employment Another common controvert is that your injuryoccurred as a result of wilful misconduct If you see that you know the insurance companyis denying your claim Any sort of controvert is a denial and...