Wc 102b fillable 2007 form-2025

1. Click ‘Get Form’ to open the Wc 102b fillable 2007 form in the editor.
2. Begin by filling out the 'Identifying Information' section. Enter the employee's last name, first name, middle initial, and social security number. Make sure to include the date of injury and county of injury.
3. Next, provide the employee's address details including city, state, and zip code. Then, enter the attorney's information including their name and contact details.
4. Fill in the employer's information in a similar manner: name, address, city, state, and zip code. Don't forget to include the GA Bar number for the attorney.
5. In the 'Notice' section, specify the attorney’s firm name and mailing address along with their telephone number and fax number.
6. Finally, complete the 'Certification' section by signing and dating the form. Ensure you have sent copies to all parties involved as required.

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