Form WC-P1 at a glance
What it is: The Panel of Physicians is an official notice that this business operates under the Georgia Workers' Compensation Law.
Where and when to file: This notice must be posted in a conspicuous place readily accessible to the employees at all times.
A filled-in Form WC-P1 example: an employer posts the panel
How to fill out Form WC-P1, box by box
The insurance company
The insurance company providing coverage for this business under the Workers' Compensation Law is: Insurer Name, Phone, Address and Insurer Email.
Physician's contact information
Review the physician's contact information and select the provider with whom you would like to receive medical treatment. The Physician's Contact Information is the Name, Address, Phone, and website.
A worker injured on the job must select a doctor from the list. The minimum panel shall consist of at least six physicians, including an orthopedic surgeon with no more than two physicians from industrial clinics (see O.C.G.A. § 34-9-201). Further, this panel shall include one minority physician, whenever feasible (see Rule 201 for definition of minority physician). The Board may grant exceptions to the required size of the panel where it is demonstrated that more than four physicians are not reasonably accessible. One change to another doctor from the list may be made without permission. Further changes require the permission of the employer or the State Board of Workers' Compensation.
Additional physicians on a separate sheet
Additional doctors may be added on a separate sheet. Check the box if additional physicians are listed on separate sheet.
More rules for Form WC-P1
Workers must report all accidents immediately to the employer by advising the employer personally, an agent, representative, boss, supervisor, or foreman.
If a worker is injured at work, the employer shall pay medical and rehabilitation expenses within the limits of the law. In some cases the employer will also pay a part of the worker's lost wages.
The employer will supply free of charge, upon request, a form for reporting accidents and will also furnish, free of charge, information about workers' compensation. The employer will also furnish to the employee, upon request, copies of board forms on file with the employer pertaining to an employee's claim.
If you have questions, contact the State Board of Workers' Compensation at 404-656-3818 or 1-800-533-0682 or visit https://sbwc.georgia.gov.
Common questions about Form WC-P1
Is there a deadline?
The worker may lose the right to receive compensation if an accident is not reported within 30 days (see O.C.G.A. § 34-9-80).
Is there a penalty?
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 (§ 34-9-18 and § 34-9-19) (checked October 22, 2026).
Sources
[1] Form WC-P1 (7/2023), Panel of Physicians, State Board of Workers' Compensation (the Official source link on this page).