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ACCG Insurance Workers Compensation Forms/Publications/Tools

Workers' Compensation Forms

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

As required by law, O.C.G.A. 34-9-81.1, this is a summary of an employees rights and responsibilities regarding a work-related injury. It should be printed on legal-sized paper and posted in prominent locations accessible to all employees such as bulletin boards, employees' break station, time card clock, personnel office, etc. It should also be posted at remote job sites where employees are regularly required to work away from their principal place of business. If the Bill of Rights is not properly posted, the employee may see the physician of his or her choice at the expense of the insurer/self-insurer.

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

The completed Panel of Physicians form should be printed on legal-sized paper and posted in prominent locations accessible to all employees such as bulletin boards, employees' break station, time card clock, personnel office, etc. It should also be posted at remote job sites where employees are regularly required to work away from their principal place of business. The form contains the names, addresses, and phone numbers of at least six physicians authorized to treat an employee following a work injury. If the panel of physicians is not posted or properly utilized, the employee may see the physician of his or her choice at the expense of the insurer/self-insurer. See O.C.G.A. 34-9-201(b) for more details.

Workers' Compensation Safety Coordinator Resolution

This is a sample resolution used to create the position of Safety Coordinator for the County.

Workers' Compensation Publications

Questions & Answers about Georgia Workers' Compensation

ACCG has developed this handbook for member counties to assist employees and management in the effective and expeditious handling of work-related injury claims.

Workers' Compensation Tools

Workers' Compensation Pharmacy Locator

Online tool to search for participating pharmacies.

ACCG Insurance Programs Partners


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