GREGORY McMILLAN & ASSOCIATES
GREGORY McMILLAN & ASSOCIATES
Top Rated Personal Injury and Criminal Attorneys | Your Fight is our Fight...Lets Win!

Georgia's Workers Compensation Intake Form

 READ THE FOLLOWING INSTRUCTIONS BEFORE SUBMITTING THIS FORM

INSTRUCTIONSPlease complete our Georgia Workers’ Compensation Intake form. Fill out what pertains to you, and try to answer each question to the best of your ability.

¤This is extremely important for current clients as it is much needed to help finish case/claim admission. 

For Prospect Clients: This information will only be used to provide you with a free case evaluation. Our site is secured and the date is encrypted to ensure safe transmission of your personal information. Your social security number and address in not needed.

For Current Clients: This information will be used to finish processing your claim. This stage for current clients serve as the final stage in the initiation process. 

If you have any questions or concerns, please let us know through the client portal or contact our office at (678) 304-8489.

YOU MAY NOW BEGIN FILLING OUT THE FORM BELOW | PLEASE ALLOW APROX. 5-15 MINUTES TO COMPLETE

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