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Workers Compensation
Workers’ Compensation
Please use this Workers’ Compensation Checklist to assist you through the workers’compensation process. Be sure all documents are typed, signed, dated and submitted together when possible. If all documents are not completed, please submit the WC-1 and submit the other documents within 24 hours of the injury.
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WC-1 First Report of Injury
Due Immediately Following Injury
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Employee Statement
Requested immediately, but due no later than 24 hours following injury
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Witness Statement
Requested immediately, but due no later than 24 hours following injury
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Medical Release Authorization Form
Signed by Employee
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Bill of Rights
To be given to employee when incident is reported
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Panel of Physicians
To be given to employee when incident is reported
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Prescription Card - Distributed at Clerical Meeting
To be given to employee when incident is reported if employee is going to clinic for treatment. Please contact April Grovenor if additional cards are needed.
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Video Footage - if available
Email: april.grovenor@glynn.k12.ga.us
Click Here to Submit Your Claim Documents
For more information, please contact your Workers’ Compensation Specialist, April Grovenor at april.grovenor@glynn.k12.ga.us or (912) 267-4100 ext 1155
