Ga Form Wc 6 ≡ Fill Out Printable PDF Forms Online

Ga Form Wc 6 PDF Details

Ga form Wc 6 is a legal document used in the state of Georgia. It is used to claim tax exemptions for business owners. The document must be filed annually with the Georgia department of revenue. Businesses that qualify for this exemption include sole proprietorships, general partnerships, limited liability companies, and corporations. The form can be downloaded from the Department of Revenue's website. Detailed instructions on how to complete the form are also available on the website. Filing deadline is April 15th each year. Qualifying businesses should take advantage of this tax exemption to reduce their taxable income. The amount of savings will vary depending on the business entity and its taxable income level.

Here are several details you may want to examine before dealing with the ga form wc 6.

Question	Answer
Form Name	Ga Form Wc 6
Form Length	1 pages
Fillable?	Yes
Fillable fields	186
Avg. time to fill out	37 min 27 sec
Other names	georgia wage statement, wage state statement online, wc6, ga form wc

12

Form Preview Example

WC-6 WAGE STATEMENT

GEORGIA STATE BOARD OF WORKERS' COMPENSATION

WAGE STATEMENT

Board Claim No.

Employee Last Name

Employee First Name

M.I.

SSN or Board Tracking #

Date of Injury

A. IDENTIFYING INFORMATION

		County of Injury				Address
EMPLOYEE

E-mail Address						City		State	Zip Code

		Name				Address
EMPLOYER

E-mail Address						City		State	Zip Code

INSURER/			Name				SBWC ID# (five digit number)
INSURER/
SELF-INSURER

			Name		Claims Office Address
CLAIMS OFFICE

E-mail Address				Insurer/Self-Insurer File #			City	State	Zip Code

B. COMPUTATION OF AVERAGE WEEKLY WAGE

If the weekly benefit is less than the maximum, complete the schedule below for thirteen (13) weeks immediately preceding the accident. If the employee has not been in your employ for the thirteen (13) weeks, complete this schedule showing gross weekly earnings of a similar employee in the same employment.

	13 Weeks of Employee’s Wages	13 Weeks of a Similar Employee’s	Full time weekly wage of injured employees
		Wages

Wage at date of injury per week:

SCHEDULE OF WEEKLY EARNINGS

	From	To	No. of	Gross		Value of Additional Compensation
				Amount Paid						Total
Week	Date	Date	Days	Including
										Earnings
	MM/DD/YYYY	MM/DD/YYYY	Worked	Overtime or	Meals	Lodging	Rent	Tips	Other

				Extra Work

1

2

3

4

5

6

7

8

9

10

11

12

13

Total

Average Weekly Earnings

C.

REMARKS:

REQUIRED TO COMPLETE:

OFF	Mon	Tue	Wed	Thur
DAYS	Fri	Sat	Sun
	Fri	Sat	Sun

Type or Print Name

E-mail Address

Signature	Date

Phone Number

IF YOU HAVE QUESTIONS PLEASE CONTACT THE STATE BOARD OF WORKERS’ COMPENSATION AT 404-656-3818 OR 1-800-533-0682 OR VISIT http://www.sbwc.georgia.gov

WILLFULLY MAKING A FALSE STATEMENT FOR THE PURPOSE OF OBTAINING OR DENYING BENEFITS IS A CRIME SUBJECT TO PENALTIES OF UP TO $10,000.00 PER VIOLATION (O.C.G.A. §34-9-18 AND §34-9-19).

WC-6

REVISION . 07/2011

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WAGE STATEMENT

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The next areas are within the PDF template you will be filling in.

portion of gaps in wc 6 compensation

The application will require you to submit the Full, Time, Weekly, Wage, of, Injured, Employee SCHEDULE, OF, WEEKLY, EARNINGS Gross, Amount, Paid Including, Overtime, or, Extra, Work Week, From, Date MM, DD, YYYY To, Date MM, DD, YYYY No, of, Days, Worked Total, Average, Weekly, Earnings Value, of, Additional, Compensation Meals, and Lodging area.

Completing wc 6 compensation step 2

Note the main information in Sun, No, Off, Days C, SCHEDULED, DAYS, OFF REMARKS, Type, or, Print, Name, Email, Address D, REMARKS Signature, Date, Phone, Number REVISION, and WAGE, STATEMENT part.

stage 3 to completing wc 6 compensation

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