File a Claim

If you need to file a claim with GEWCT, please download the PDF claim form or MS Word claim form, complete it, and fax it to 678-298-1881 or email the First Report of Injury to claims@affinityservicegroup.com . You may also call us at 678-298-1880.

PDF Form   

Request a Quote.
File a Claim.
Affinity Service Group
Affinity Service Group