Last updated: 10/26/2022
WC-MCO Panel (Spanish) {WC-P3}
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Description
<document>(Este aviso debe ser puesto en un lugar accesible al empleado todo el tiempo.)AVISO OFICIAL Esta compañía opera bajo las Leyes de Compensación de Trabajadores de GeorgiaLOS TRABAJADORES DEBEN REPORTAR TODOS LOS ACCIDENTES INMEDIATAMENTE AL EMPLEADOR Y AVISARLE AL EMPLEADOR PERSONALMENTE, UN AGENTE, REPRESENTANTE, FEJE O CAPATAZ.COURT COUNTY OFSi un Si un trabajador se lesiona en el trabajo, el empleador debe pagar los gastos médicos y de rehabilitación dentro de los limites de la ley. En algunos casos el empleador también pagara una parte de los ingresos perdidos. Lesiones de trabajo y de enfermedades ocupacionales deben ser reportado por escrito cuando sea posible. El trabajador puede perder los derechos de recibir compensación si un accidente no es reportado dentro de 30 días. El empleador ofrecerá una planilla sin costo alguno cuando sea pedida para reportar accidentes y también sin costo alguno, puede suministrar información acerca de compensación de trabajadores. El empleador también suministrará, si es pedido, al empleado, copias de planillas de la junta archivadas con el empleador pertenecientes a reclamos de los empleados.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.Calendar No.JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)Junta Estatal de Compensación de Trabajadores 270 Peachtree Street, N.W. Atlanta, Georgia 30303-0682 http:// www.ganet.org/sbwc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Su empleador esta matriculado con la organización administrativa de cuidados de compensación de trabajadores (WC/MCO) inscrito abajo, para proveer todos los tratamientos médicos necesarios en lesiones de compensación de Trabajadores. El día efectivo aparece debajo. Si usted a tenido una lesión antes de la fecha efectiva inscrito abajo, usted puede continuar recibiendo tratamiento por su actual medico no-participante hasta que usted elija utilizar los servicios de WC/MCO. Cada empleado se le proveerá una publicación la cual explica en detalles como adquirir los servicios de la (WC/MCO) y se le proveerá con una lista completa de los médicos proveedores disponibles. Y además, cada empleado recibirá una tarjeta tamaño billetera que contiene información de los servicios de la WC/MCO incluyendo un numero disponible las 24 horas con mensaje grabados con información de como utilizar los servicios. NOMBRE DE WC/MCO THE PEOPLE OF THE STATE OF NEW YORK TOGREETINGS:WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the Honorable,located at County ofDIRECCION AREA DE SERVICIO GEOGRAFICO o'clock in the day of, on the, 20, at or adjourned date, to testify and give evidence as a witness in this action on the part of thenoon, and at any recessed in roomNOMBRE DE PERSONA DE CONTACTO Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply.NUMERO DE TELEFONO DE PERSONA DE CONTACTO DIRECCION DE PERSONA DE CONTACTO , one of the Justices of theNUMERO DE TELEFONO DE 24 HORAS Court in Witness, Honorableday of, 20 County,FECHA EFECTIVA DE WC/MCO (Attorney must sign above and type name below)La compañía de seguro que provee cobertura para esta Empresa bajo la Ley de Compensación de Trabajadores es:Attorney(s) forNombre DirecciónOffice and P.O. AddressTeléfonoHacer falsos testimonios voluntariamente con el propósito de obtener o negar beneficios es un crimen sujeto a penalidades de hasta 10,000.00 por violación (O.C.G.A. 34-9-18 yTelephone No.: Facsimile No.: E-Mail Address:WC-P3 (7/2003)Mobile Tel. No.:American LegalNet, Inc. www.USCourtForms.com</document>
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