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ACCG Insurance Safety Discount Program

This step-by-step workbook will assist you in qualifying for the safety discount.

The Safety Discount Verification Form is to be signed by the Chairman or the Executive Director (if your organization is not a county). Once the requirements are met and the form is submitted, the application process is complete.

ACCG Safety Discount Program Workbook

Individual Safety Discount Verification Form Downloads

ACCG - GSIWCF County (fillable pdf)

ACCG - GSIWCF Authority (fillable pdf)

Additional Form Downloads

Sample Safety Action Plan Download (fillable pdf)

Workers’ Compensation Bill of Rights (Ed. 07/2016)

Workers’ Compensation Panel of Physicians (Ed. 07/2006)

Any questions, please contact Penny Henderson at (404) 589-7834 or phenderson@accg.org

ACCG Insurance Programs Partners


Contact ACCG Claims

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FAX: 678.225.4240 | 888.221.4079