Free Reasons that forms are rejected - Georgia


File Size: 12.9 kB
Pages: 1
File Format: PDF
State: Georgia
Category: Workers Compensation
Author: PratherD
Word Count: 135 Words, 730 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://sbwc.georgia.gov/vgn/images/portal/cit_1210/24/63/91122384ReasonsFormsAreRejected.pdf

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Preview Reasons that forms are rejected
Reasons that forms are rejected 1. Section B, C or D - not completed on the WC-1. 2. SBWC ID # (5 digits) - not completed or incorrect. 3. Insurer/self insurer - name and address not completed. 4. Claims office - name and address not completed. 5. Illegible Form - no fax copies 6. Altered Form - do not highlight areas, do not extend front page to page. 7. Multiple dates of injury - a form must be filed for each date 8. Claimant or Employer - address not completed 9. Outdated Board forms ­ if you need Board forms contact the mailroom at 404-656-3870 or visit our website at www.sbwc.georgia.gov. THE WC-1 AND WC-14 MUST BE TYPED OR PRINTED IN BLACK INK.

If you have any questions please call 404-656-3818 or 1-800-5330682