1701 A1 Workers’ Compensation Reporting Instructions
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Georgia Department of Human Services |
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Workers’ Compensation Reporting Instructions |
Call toll-free, 24 hours a day / 7 days a week 1.877.656.7475
Claims should only be reported by the Supervisor or designee.
Employees cannot call in their own claims.
The supervisor or designee should call to report work-related injuries, illnesses, and exposures to occupational disease within 24 hours. Reporting should be delayed only long enough for the supervisor or designee to assist the employee with receiving appropriate medical attention. Call the toll-free number above with the following information:
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Name, Address, Social Security Number, Age and Sex of Employee
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Name of Employing Agency, Address and Telephone #
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Date, Time and Description of Incident (How? Where? Why?)
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Body Part Injured
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Injury Type, Illness or Occupational Disease Exposure (cut, burn, fall, etc.)
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Hourly / Weekly / Monthly Salary
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Name and Address of Physician / Hospital / Treatment Facility
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Has Employee Returned to Work?
A copy of the completed injury report will be issued to the supervisor or designee and the appropriate Department of Administrative Services (DOAS) Workers' Compensation Specialist within 24 hours of the incident being reported. Any information that needs to be corrected after the claim has been reported, must be submitted by calling the appropriate DOAS Workers' Compensation Specialist.
Only work-related injuries, illnesses, and exposures to occupational disease requiring medical care or lost time from work should be reported through the telephonic reporting system. Injuries, illnesses, and exposures to occupational disease requiring no medical care should be recorded by the organizational unit, as an incident only utilizing the Incident Report (Attachment #3). The Incident Report is maintained by the organizational unit.