Workers' Compensation Evaluation
P.O. BOX 17970 Atlanta, Georgia 30316
(404) 529-9081 (p)
(678) 623-5693 (f)
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CASE DETAILS
Did your employer file a WC-1 or
first claim of injury?
The claimed injury occurred on
this date:
Are there witnesses to the injury
whose names are known by the
injured?
At the time of the injury, what was
your weekly wage?
Legal Assistance Needed in which
county and state?
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