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North Carolina Industrial Commission IC File # NOTICE OF ACCIDENT TO EMPLOYER AND CLAIM OF EMPLOYEE, REPRESENTATIVE, OR DEPENDENT (G.S. 97-22 THROUGH 24) EMP. Code # Carrier Code # Employer VEIN The
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01
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Provide accurate personal details, such as your full name, address, and contact information.
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Fill in your employment history, including previous positions held, job titles, and dates of employment.
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The employee form may be required by various individuals or entities, including:
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It is crucial to comply with any request for this form as it allows organizations to gather important information about their employees, ensure legal obligations are met, and make informed decisions regarding employment or benefits.
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