Within 24 hours of submitting a workers’ compensation claim, employees have to give a verbal statement to both the claims adjuster and the triage nurse (Amerysis) to complete the process.
On-the-Job Injury Reporting Procedures:
- The injured employee must notify their supervisor or HRO immediately!
- Treatment for non-life-threatening injuries can be sought at Peachtree Occupational Medicine or Concentra. Detailed information on the treatment facilities can be found under “Treatment Locations”.
- The injured employee’s supervisor or HRO must report the incident to the Office of Insurance and Risk Management (IRM) within 24 hours.
- IRM should not receive the first notice of injury report from the injured employee.
- If the injured employee has not sought treatment or does not plan to seek treatment, IRM will record the incident as “Record Only”.
- IRM will report injuries to the Georgia Department of Administrative Services (DOAS) for further processing. Once received, IRM will provide the injured employee, the employee’s supervisor, and HRO with the Workers’ Compensation Claim #.
- Exception: If an employee is involved in an auto accident, they must call Net Claims and Net Claims will collect injury information in addition to auto damage information.
Supervisor or HRO
- GSU Modified WC-1
- Georgia Activity Analysis – send back with the employee for follow-up appts. if applicable
Witness (if applicable)
The employee is required to submit a work status form from the treating physician to their supervisor and the Office of Insurance & Risk Management following each medical visit.
Please only use the forms provided on the Office of Insurance and Risk Management website. Completed forms must be submitted to Insurance and Risk Management at: [email protected].
Workers’ Compensation Forms:
- To be completed by the injured employee’s supervisor:
- To be completed by the injured employee:
- To be completed by anybody who may have seen the incident occur:
- To be provided to injured Employee when seeking medical treatment
- Workers’ Compensation Employee Bill of Rights Poster – English | Spanish
- Workers’ Compensation Posted Panel of Physicians – MCO
- Georgia Department of Administrative Services FAQs
Please seek appropriate treatment according to the severity of the injury.
EMERGENCY: Dial 911
Peachtree Occupational Medicine has 24/7 coverage with two Locations.
1000 Northside Drive, Suite 1400
1901 Phoenix Boulevard, Suite 205
College Park, GA 30349
Immediate Medical Treatment can be obtained from the following locations:
- Concentra Midtown (Lab Injuries)
688 Spring St NW
Atlanta, GA 30308
Hours: Mon-Fri 8:00am-5:00pmAdditional Concentra locations can be found in and around the City of Atlanta by searching here.
- Piedmont Urgent Care
572 Hank Aaron Dr SW Unit 4200
Atlanta, GA 30312
Hours: Mon-Sun 8am-8pm
Additional Piedmont Urgent Care Locations can be found here.
- After-hours care should be sought in the nearest hospital’s emergency department
Non-Urgent Medical Care can be obtained following normal injury reporting procedures and working with the University System of Georgia’s Managed Care Organization to arrange for in-network medical care.
First Aid Only Injuries: Apply necessary first aid and report injuries to IRM as “record only”