Safety Discount Program

This step-by-step workbook will assist you in qualifying for the safety discount for the ACCG Workers’ Compensation program for 2026. Only counties are eligible for this discount.

ACCG Safety Discount Program Workbook for Counties
ACCG Safety Discount Program Workbook for Authorities

Safety Action Plan

The Sample Safety Action Plan is to be used for the program(s) in which you participate. LGRMS will be providing you with additional instructions and loss runs in March 2025.

Sample Safety Action Plan for Counties(fillable pdf)
Sample Safety Action Plan for Authorities(fillable pdf)

Safety Discount Verification Forms

The Safety Discount Verification Form is to be signed by the Chairman or the Executive Director (if your organization is not a county). Once the requirements are met and the Safety Discount Verification Form is submitted to [email protected], the application process is complete.

ACCG-GSIWCF Safety Discount Verification Form for County (fillable pdf)
ACCG-GSIWCF Safety Discount Verification Form (Authority)

Workers' Compensation Board Forms

For current forms go to: https://sbwc.georgia.gov/publications-and-forms/forms/board-forms

WC-Bill of Rights	Form WC-BOR	Revision Date 07/2023
WC-Panel of Physicians (fillable)	Form WC-P1	Revision Date 07/2023

Sample Safety Coordinator Resolution and Sample Policies

Click HERE to see the documents that are referenced in the Safety Discount Program Workbook. These documents are in Word for your use.

Click here for a fillable GSIWCF Contact form.

Any questions, please contact Penny Henderson at (404) 589-7834 or [email protected].