Last updated: 10/26/2022
Application For Lump Sum Advance Payment {WC-25}
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Description
WC-25 APPLICATION FOR LUMP SUM / ADVANCE PAYMENT. This form is used in Georgia workers’ compensation cases to request or oppose a lump sum payment or advance of income benefits. Issued by the Georgia State Board of Workers’ Compensation, this form may be filed by a claimant seeking early access to benefits or by an employer/insurer agreeing to or objecting to the request. The application requires detailed information about the claim, payment history, and the specific type of request—full commutation of remaining benefits or a partial advance to be repaid through benefit credits or reduced weekly payments. Claimants must submit a sworn affidavit, disclose dependents, explain the intended use of funds, and provide a current medical report and supporting financial documentation. If no objection is filed within 15 days, the Board may treat the request as unopposed. www.FormsWorkflow.com
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