Georgia wage 2026

1. Click ‘Get Form’ to open the Georgia Wage Statement in the editor.
2. Begin by filling in the Identifying Information section. Enter the Employee Name, Social Security Number, Address, Date of Injury, County of Injury, City, Zip Code, State, Employer Name, and Employer Address.
3. Proceed to the Computation of Average Weekly Wage section. If applicable, complete the schedule for the thirteen weeks preceding the accident. If not employed for that duration, provide gross weekly earnings of a similar employee and their name.
4. Fill in Hours Worked and Number of Days Worked Per Week. Specify the Wage at Date of Injury per day and per week.
5. Complete the Schedule of Weekly Earnings by entering details for each week including dates worked, gross amount paid (including overtime), and any additional compensation such as meals or lodging.
6. Finally, review your entries for accuracy before signing and dating the form at the bottom.

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