Workers Compensation

Compensation For Work Related Injuries

Workers’ Compensation Insurance coverage is a program created by State Law that provides medical, rehabilitation, income, death and other benefits to employees and dependents due to injury, illness and death resulting from a work-related incident. For more information regarding Workers’ Compensation, please see the following links:

Accident Reporting Procedures at Georgia State University

Worker’s Compensation Forms 

GSU Modified WC-1 Form

Leave Election Memorandum Form

Accept/ Decline Benefits Form

Accident Witness Statement From

GSU Temporary Prescription Form

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Workers’ Compensation Posted Panel of Physicians – MCO

Workers’ Compensation Employee Bill of Rights Poster

Cuts and Lacerations Poster