Toll Free:
855/753-0016
Phone:
678/753-0016
Fax:
678/753-0056
P.O. Box 167
|
Watkinsville, GA 30677
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Peanut Buying Points
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Production Agriculture - Crops
Production Agriculture - Livestock
Production Agriculture - Poultry
Slaughter Houses
Specialty Foods Manufacturers
Turfgrass
Water Bottlers
More Industries
Quarterly Conference Call
Recording Affidavits are due by June 6th
Quarterly Safety Initiative
2nd Quarter Entry Forms due by July 10th
AgriTrust Forms
State Board Forms
Click the links below for downloadable forms:
Certificate of Insurance Request
Drug Testing Notice (English)
Drug Testing Notice (Spanish)
Post-Offer-of-Employment Medical Inquiry (English)
Post-Offer-of-Employment Medical Inquiry (Spanish)
Employee Documentation Worksheet (English)
Employee Documentation Worksheet (Spanish)
Drug Testing Notice to Medical Provider
Safety Self Evaluation Checklist
Supervisor's Report of a Claim
Click the links below for downloadable forms:
Bill of Rights (revised 2007) -
english
|
espanol
Panel of Physicians (revised 2006) -
english
|
espanol
Wage Statement
(revised 2011)
Notice of Election or Rejection of Workers' Compensation Coverage
(revised 2006)
Employer's First Report of Injury
(revised 2011)
Testimonials
AgriTrust came into agribusiness when other workers’ compensation carriers were getting out. Their prompt claims management and program stability really stand out.
- Jimmy Adams
Adams-Briscoe Seed Company, Jackson, GA
Latest News
Quarterly Safety Initiative Winner »
2012 1st Quarter Winner is Merrily Plantation Inc.
Quarterly Safety Initiative Winner »
2011 4th Quarter Winner is Chickasha of Georgia!