Quarterly Conference Call Recording
Still time to earn premium credit for the May 16th call.
Affidavits are due by June 18th
Quarterly Safety Initiative
2nd Quarter Entry Forms due by July 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
Testimonials
AgriTrust came into agribusiness when other workers’ compensation carriers were getting out. Their prompt claims management and program stability really stand out.
- Jimmy Adams
Adams-Briscoe Seed Company, Jackson, GA
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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 2012)
- Employer's First Report of Injury (revised 2011)