2nd Quarter Entry Forms due by July 10th
| Toll Free: | 855/753-0016 |
| Phone: | 678/753-0016 |
| Fax: | 678/753-0056 |
P.O. Box 167 | Watkinsville, GA 30677
-
AgriTourism
-
Beekeepers
-
Cotton Gins
-
Egg Production
-
Farm Supply
-
Food Service Distributors
-
Greenhouse Production
-
Hay, Grain and Feed
-
Landscaping
-
Livestock Auction Barns
-
Peanut Buying Points
-
Plantations
-
Produce Dealers
-
Production Agriculture - Crops
-
Production Agriculture - Livestock
-
Production Agriculture - Poultry
-
Slaughter Houses
-
Specialty Foods Manufacturers
-
Turfgrass
-
Water Bottlers
Recording Affidavits are due by June 6th
-
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