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The document is a Workers' Compensation Board form (C-3) for employees in New York to apply for benefits due to work-related injuries or illnesses. It requires personal information from the employee, details about the employer, job description, specifics of the injury or illness, and medical treatment received. Additionally, it includes instructions for completing the form and outlines the rights of injured workers.

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2022	4.9 Satisfied (47 Votes)
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What is a WC 6 wage statement in Georgia?

WC-6 Wage Statement. This form enables us to calculate the correct compensation that may be owed to an injured employee. Please complete this form and submit it to EMPLOYERS within five days after your knowledge of any accident that has caused your employee to be disabled for more than seven scheduled work days.

How much does workers comp pay in Georgia?

This is known as the 7-day waiting period for workers comp in Georgia. Benefits kick in on the 8th day you are unable to work. The maximum weekly benefit is $675 per week as of 2023. You receive two-thirds of your average weekly wage, up to the maximum.

What are the requirements for workers compensation in Georgia?

Workers compensation eligibility requirements in Georgia Georgia law requires most employers in the state with 3 or more employees to carry workers compensation insurance coverage. Employers that dont provide mandatory coverage face liability for damages as well as criminal penalties.

Can I choose my own doctor for workers comp in Georgia?

A panel of physicians is a list of approved doctors that your employer has posted on the job site. If your employer doesnt have a posted panel of physicians, then you can treat with any medical professional you want to. In either scenario, the issue becomes which doctor to treat with.

What is a C 3 form?

C-3 Form: Injured Workers Compensation Forms.

How to file a workers comp claim in Georgia?

File a Workers Compensation Claim Get Prepared. Report any accident occurring on the job to your employer as soon as possible. Gather What Youll Need. WC-14 Form (Notice of Claim/Request for Hearing/Request for Mediation) Complete a Claim. Fill out the WC-14 form as completely as possible. Next Steps.

How do I file for workers comp in Georgia?

The State Board of Workers Compensation will provide you with Form WC-14 to file a claim. In the metro Atlanta dialing area call (404) 656-3818 and outside the metro Atlanta area call 1-800-533-0682. You may also obtain a Form WC-14 from the State Board of Workers Compensation website .sbwc.georgia.gov.

What is the longest you can be on workers comp?

Some states limit the length of time an injured worker can receive temporary benefits. This range can be three to seven years. That said, there is not usually a limit on permanent disability benefits. However, some states do stop weekly benefits when employees reach the age of 65.

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