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North Carolina Industrial Commission IC File #SUPPLEMENTAL REPORT FOR FATAL ACCIDENTS (FORM 19, EMPLOYERS REPORT OF EMPLOYEES INJURY TO THE INDUSTRIAL COMMISSION, MUST ALSO BE SUBMITTED IN EVERY CASE)
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How to fill out north carolina workers compensation

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How to fill out north carolina workers compensation

01
Obtain the necessary forms from your employer or the North Carolina Industrial Commission.
02
Fill out the Employee’s Notice of Accident Form (Form 18) with details about the accident and your injuries.
03
Submit the completed Form 18 to your employer within 30 days of the accident.
04
If you miss work due to your injuries, fill out the Employee’s Application for Additional Medical Compensation Form (Form 33) to claim benefits.
05
Keep copies of all forms and any medical documentation related to your claim.

Who needs north carolina workers compensation?

01
Employees who are injured on the job in North Carolina.
02
Employers who have employees working in North Carolina and are required to provide workers' compensation insurance.
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North Carolina workers' compensation is a state-mandated insurance program that provides financial and medical benefits to employees who are injured or become ill as a result of their job.
Employers in North Carolina with three or more employees are required to carry workers' compensation insurance and must file claims for employees who sustain work-related injuries or illnesses.
To fill out a North Carolina workers' compensation claim, complete the relevant forms such as the Form 18 for accident claims, provide detailed information about the incident, medical treatment, and your injuries, and submit them to the employer and the North Carolina Industrial Commission.
The purpose of North Carolina workers' compensation is to provide injured workers with medical benefits, wage replacement, and vocational rehabilitation while protecting employers from litigation related to workplace injuries.
The information that must be reported includes the employee's personal details, the details of the injury or illness, medical treatment received, and the circumstances surrounding the incident.
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