February 16, 2012
1st Quarter Entry Forms due by April 10th
| Toll Free: | 855/753-0016 |
| Phone: | 678/753-0016 |
| Fax: | 678/753-0056 |
P.O. Box 167 | Watkinsville, GA 30677
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AgriTourism
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Beekeepers
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Cotton Gins
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Egg Production
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Farm Supply
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Food Service Distributors
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Greenhouse Production
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Hay, Grain and Feed
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Landscaping
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Livestock Auction Barns
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Peanut Buying Points
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Plantations
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Produce Dealers
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Production Agriculture - Crops
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Production Agriculture - Livestock
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Production Agriculture - Poultry
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Slaughter Houses
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Specialty Foods Manufacturers
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Turfgrass
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Water Bottlers
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Click the links below for downloadable forms:
- Certificate of Insurance Request
- Drug Testing Notice (English)
- Drug Testing Notice (Spanish)
- Post-Offer-of-Employment Medical Inquiry (English)
- Post-Offer-of-Employment Medical Inquiry (Spanish)
- Employee Documentation Worksheet (English)
- Employee Documentation Worksheet (Spanish)
- Drug Testing Notice to Medical Provider
- Safety Self Evaluation Checklist
- Supervisor's Report of a Claim
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Click the links below for downloadable forms:
- Bill of Rights (revised 2007) - english|espanol
- Panel of Physicians (revised 2006) - english|espanol
- Wage Statement (revised 2011)
- Notice of Election or Rejection of Workers' Compensation Coverage (revised 2006)
- Employer's First Report of Injury (revised 2011)
Testimonials
Our affiliation with AgriTrust of Georgia dates back to the beginning of the program. We have always been pleased with the competitive pricing and the helpfulness of the people involved. The dividends received over the past few years have been terrific.
- Brad Ash
Ash Brothers Feed & Farm Supply, Cleveland, GA