GA State Board of Workers' Compensation

Showing 17–32 of 36 results

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  Notice of Claim/Request for Hearing/Request for Mediation

  GAWC14 $69.00
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  Notice of Intent to Become a Party at Interest

  GAWC206 $69.00
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  Notice of Intent to Become a Party of Interest

  GAWC244 $69.00
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  Notice of Payment or Suspension of Benefits

  GAWC2 $69.00
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  Notice of Payment or Suspension of Death Benefits

  GAWC2A $69.00
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  Notice of Representation of Any Party Other than a Claimant or Employee by an Attorney

  GAWC102I $69.00
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  Notice of Use of Servicing Agent

  GAWC121 $69.00
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  Notice to Controvert

  GAWC3 $69.00
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  Notice to Employee of Medical Release to Return to Work with Restrictions or Limitations

  GAWC104 $69.00
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  Notice to Employee of Offer of Suitable Employment

  GAWC240 $69.00
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  Rehabilitation Transmittal Form

  GAWCR2 $89.00
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  Request for Authorization of Treatment or Testing by Authorized Medical Provider

  GAWC205 $69.00
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  Request for Copy of Board Records

  GAWC12 $69.00
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  Request for Documents to Parties

  GAWC102 $69.00
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  Request for Rehabilitation

  GAWCR1 $89.00
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  Request for Rehabilitation Closure

  GAWCR3 $89.00