| Toll Free: | 855/753-0016 |
| Phone: | 678/753-0016 |
| Fax: | 678/753-0056 |
P.O. Box 167 | Watkinsville, GA 30677
State Board Workers' Compensation Forms
| FORM# | TITLE |
|---|---|
| WC-BOR | Bill of Rights (Revised 2007) |
| WC-BOR-Sp | Bill of Rights (Revised 2007) - espanol |
| WC-P1 | Panel of Physicians (Revised 2006) |
| WC-P1Sp | Panel of Physicians (Revised 2006) - espanol |
| WC-6 | Wage Statement (Revised 2011) |
| WC-10 | Notice of Election or Rejection of Workers' Compensation Coverage (Revised 2006) |
| WC-1 | Employer's First Report of Injury (Revised 2011) |