WC-240 PDF Details

This form, with all attachments, must be provided to the employee and counsel for the employee at least ten days prior to the date the employee is expected to return to work.

Filing: this form, along with attachments, should only be filed with the Board as an attachment to a Form WC-2.

Physician reports: a copy of the report(s) of your authorized treating physician(s), approving the job as suitable to your condition, is / are attached.

Reinstated: should you attempt but fail to continue working for fifteen (15) scheduled work days, your income benefits shall immediately be reinstated.

QuestionAnswer
Form NameWC-240
Form Length1 page
Fillable?Yes
Fillable fields34
Avg. time to fill out6 min
Edition7/2021
Issuing agencyGeorgia State Board of Workers' Compensation
Matches the agency's fileYes, checked October 4, 2026
Other namesWC-240, WC 240, WC240, Form WC-240, Georgia WC-240, Notice to Employee of Offer of Suitable Employment
Official sourceWC-240 (Rev. 7/2021), Georgia State Board of Workers' Compensation