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FORM # 14 NORTH CAROLINA 20TH JUDICIAL DISTRICT COUNTY OF UNION IN THE GENERAL COURT OF JUSTICE DISTRICT COURT DIVISION CASE NUMBER ASSIGNED JUDGE) Plaintiff, ) ) -vs-)), ) Defendant. )) EQUITABLE

How to fill out form 14 north carolina

How to fill out form 14 North Carolina:

1. Gather all necessary information: Before filling out form 14 in North Carolina, make sure you have all the required information at hand. This includes your personal details, such as your name, address, and contact information, as well as any relevant information related to your case or claim.
2. Download or obtain the form: You can download form 14 North Carolina from the official website of the North Carolina Industrial Commission or obtain a physical copy from the appropriate administrative office. Ensure that you have the most recent version of the form to avoid any complications.
3. Provide your personal information: Start by filling out the top section of form 14, which requires you to enter your name, address, contact details, and social security number. This information helps in identifying and processing your claim accurately.
4. Indicate the employer's information: In the next section of form 14, you need to provide details about your employer, such as their name, address, and contact information. It is essential to accurately fill out this information to ensure proper documentation and communication.
5. Fill in the claimant information: The third section of form 14 is dedicated to the claimant's information. Here, you need to provide details about yourself, including your date of birth, occupation, and the nature of your injury or illness. This information helps in assessing the eligibility and nature of your claim.
6. Describe the incident: In the subsequent section, you will be required to describe the incident that led to your injury or illness. Provide a detailed account of what happened, where it occurred, and any other relevant information. Be clear and concise to make it easier for the commission to understand the circumstances surrounding your claim.
7. Attach medical documentation: Section five of form 14 requires you to attach medical documentation supporting your claim. This can include doctor's reports, diagnoses, treatment plans, and any other relevant medical evidence. Ensure that you have these documents ready and securely attach them to your completed form.
8. Sign and submit the form: Once you have filled out the necessary sections and attached the required documentation, review the form for any errors or omissions. After ensuring the accuracy of the information provided, sign and date the form. Make a copy of the completed form and its attachments for your records, and submit the original form to the appropriate administrative office as instructed.

Who needs form 14 North Carolina?

1. Employees seeking workers' compensation: Form 14 in North Carolina is required for employees who have suffered injuries or illnesses in the workplace and are seeking workers' compensation benefits. It is an essential document for initiating the claims process.
2. Employers and insurance carriers: Employers and insurance carriers also need form 14 to properly respond to and process worker's compensation claims. It helps them gather necessary information about the incident and the injured employee to assess liability and determine appropriate compensation.
3. North Carolina Industrial Commission: The North Carolina Industrial Commission, as the governing body responsible for overseeing workers' compensation, requires form 14 to be filled out accurately and submitted for proper evaluation and processing of the claim.

For pdfFiller’s FAQs

What is form 14 north carolina?

Form 14 North Carolina is a financial affidavit used in cases of child support and custody to determine the financial responsibilities of each parent.

Who is required to file form 14 north carolina?

Both parents involved in a child support or custody case are required to file form 14 North Carolina.

How to fill out form 14 north carolina?

Form 14 North Carolina can be filled out by providing information about income, expenses, assets, and liabilities in the specified sections of the form.

What is the purpose of form 14 north carolina?

The purpose of form 14 North Carolina is to calculate child support obligations based on each parent's financial situation.

What information must be reported on form 14 north carolina?

Information such as income, expenses, assets, and liabilities must be reported on form 14 North Carolina.

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