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Workers' Compensation

​​​Risk Management Services self insures the Workers' Compensation Program for the State of Georgia. The program is administered through a contract with Georgia Department of Administrative Services, a third party administrator.


 

The Workers' Compensation Program provides for monetary supplements for absences from work, as well as medical care through the Amerisys Managed Care Organization and other costs associated with job related injuries.

 

A part of the Workers' Compensation Program is "Georgia Focus," which is a three-tiered approach to the safety, care and recovery of employees. The program places its focus on taking care of employees.​


 

  • Tier 1 is a proactive approach to the safety of employees through job hazard analysis, education and corrective actions to hazardous conditions

  • Tier 2 is a managed approach to the care of employees in the event of an injury. Through the Amerisys Managed Care Organization, employees who have suffered a job related injury are provided timely and effective medical care. Timely reporting of injuries by the supervisor ensures injured workers are receiving prompt care and benefits to which they are entitled.

  • ​Tier 3 is a return to work team approach that focuses on an employee's ability as opposed to their disability. This approach enables the employee to return to work sooner and within their medical restrictions​.

 

 

CONTACT

Workers' Compensation
Workers' Compensation Program Officer

Phone

 404-656-9484

Email

 Kim.Oliver@doas.ga.gov

View All Division Contacts

 

 
Worker's Compensation Publications and Forms

03/03/20

Georgia Activity Analysis

Form for documenting specific job tasks and the primary physical, mental and environmental demands required to perform each tas...

02/19/15

Georgia Focus

Georgia Focus is a three-tiered program aimed at placing focus on employees. The tiers address Safety and Injury Prevention, ta...

03/03/20

Incident Notice Only

Used to document an incident where there was NO injury reported.

03/03/20

Job Hazard Analysis

Used to analyze and document specific job steps, existing and potential hazards, and corrective measures.

03/03/20

Leave Election

Form completed by injured employee to record how compensation is to be paid for lost time.

03/04/20

Medical Authorization

Workers authorization and consent to release information.

11/07/18

Mileage Form

Mileage reimbursement form for WC claim-related travel.

11/09/18

Reporting Instructions

Used by supervisors for initial report of injuries to the 24-hour Telephonic Reporting center.

11/13/18

RTW Supervisor Form

RTW Supervisor Form

03/10/20

Supervisor's Accident Investigation

Supervisor's Accident Report Form

02/19/15

Supervisor Guide

Supervisors Handbook contains information to assist in the effective and expeditious reporting and handling of on-the-job injur...

03/10/20

Transitional Employment Plan

This form is used to document the Transitional Employment Plan as agreed to between supervisor and employee.

03/04/20

Wage Statement

Employee wage statement form.

02/16/23

WC/MCO Panel

Workers' Comp Panel of Physicians. This notice must be posted in a conspicuous place readily accessible to the employee at all...

03/02/20

Workers' Compensation MCO At A Glance

This document is a one-page overview of the State of Georgia's Workers' Compensation Managed Care Organization. It should be ...

11/14/18

Witness Statement

Statement to be completed and signed by witness to a workplace accident.

01/21/21

Employee Brochure - WC MCO - AmerSysi

3-fold Employee Brochure describing the Workers' Compensation program.

01/21/21

Amerisys Contact Card

Contains contact information needed if you are injured on the job.

11/06/18

Leave Election

Form completed by injured employee to record how compensation is to be paid for lost time.

03/10/20

Bill of Rights

Summary description of injured workers rights and responsibilities per Georgia law

03/04/20

Workers' Comp Handbook

Describes the workers rights and responsibilities. Includes an FAQ.

11/13/18

RTW Supervisor Form

RTW Supervisor Form

02/19/15

Fraud Notice

Single page notice describing fraudelent activities and penalties re: Workers' Compensation under GA law.

11/04/18

Incident Notice Only

Used to document an incident where there was NO injury reported.

11/06/18

Leave Election

Form completed by injured employee to record how compensation is to be paid for lost time.

11/07/18

Mileage Form

Mileage reimbursement form for WC claim-related travel.

11/09/15

Bill of Rights (spanish version)

Summary description of injured workers rights and responsibilities per Georgia law.

02/22/22

Employees Report of Injury

Employees report for documenting accident, injuries.

10/31/18

MyMatrixx Quick Reference Guide

Quick reference guide for WC claimants for filling prescriptions.

01/21/21

DOAS Brochure

DOAS Brochure for Workers’ Compensation Benefits for Injured Workers

03/10/20

Fraud Notice Spanish

Single page notice describing fraudelent activities and penalties in spanish re: Workers' Compensation under GA law.

02/16/23

WC/MC Panel Espanol - Spanish

Workers' Comp Panel of Physicians - Spanish. This notice must be posted in a conspicuous place readily accessible to the employ...

06/22/20

Workers' Compensation Temporary Prescription ID Card

Workers' Compensation Temporary Prescription ID Card from MyMatrixx