MEMBERSHIP

Join or renew

Add your organization to a network of more than 400 Georgia employers advancing workers' compensation self-insurance.

Close-up of a black curved line on a white background, resembling the top of a hook or arch

Thank you for contacting us.
We’ll get back to you as soon as possible.

We got it.

Next Send Back

Secure payment processed by our payment provider.

Pay $500 Membership Dues

Thank you for joining GWCA! Simply click pay to transact your membership dues. You may now pay with a credit/debit card or from your bank account.

Pay by Credit Card

GWCA Desk Manual (1 copy)                                Included



GWCA Annual Membership Dues                        $500.00

Order Summary

Questions or concerns? Call 912-667-0441.

Make your check payable to:

Georgia Workers' Compensation Association, Inc.
PO Box 16267
Savannah, GA 31416

Pay by Check

Total                                                                         $500.00

Membership Application

GWCA Membership Application & Renewal

Complete the application below to join or renew. Fields marked * are required.

$500 / year

Annual dues for GWCA members. New members receive one copy of the GWCA Desk Manual (additional copies available for purchase).

Your Company

Status
This is required
This is required
This is required
This is required
This is required
This is required

Your Contact Info

This is required
This is required
This is required
Enter your phone number Enter a valid number like +1555-123-4567
This is required
Enter an email Use an address with (@) and (.)
This is required

Additional Contact

Add any company members who'd like to receive communications from GWCA

This is required
This is required
This is required
This is required
This is required
This is required
This is required
This is required
This is required

Membership Types

Employer Member: A company, self-funded pool, or other employer covering its workers compensation obligations through self-insurance or commercial insurance.

Associate Member: Any person, firm, corporation or other entity specifically in business as a vendor of products or services related to workers' compensation.

Select One
This is required
Other:
This is required
This is required
This is required

NOTE: Dues to GWCA are not deductible as a charitable contribution, but may be deductible as an ordinary and necessary business expense. However, 40% of your dues is not deductible due to GWCA lobbying activity. Insured employers are eligible to join GWCA as associate members.

Blank white rectangle on a white background

That didn’t work.

The form wasn’t sent. Please try again.