Compress Legal North Carolina Workers' Compensation Forms For Free

EMPLOYEE ? This form must be filed with the Industrial Commission within two years of the date of injury or occupational disease or your claim may be barred ... To the Employee: This Form 19 is not your claim for workers' compensation benefits. To make a claim, you must complete and sign the enclosed Form 18 and ... RALEIGH, NORTH CAROLINA 27699-4335. MAIN TELEPHONE: (919) 807-2500. HELPLINE ... This Form 19 is not your claim for workers' compensation benefits ... A Form 18 establishes a legal claim of injury on your behalf if filed within two years of the date of injury or occupational disease, and gives the required ... Notice to Employees: The original of this form must be sent to the Industrial Commission at the address below or by e-mail to dockets@ic.nc.gov. A copy of the  ... The Use of This Form Is Required Under the Provisions of the Workers' Compensation Act ... Notice is hereby given, as required by law, that the above-named ... THE USE OF THIS FORM IS REQUIRED UNDER THE PROVISIONS OF THE WORKERS' COMPENSATION ACT. ( ). Employee's Name. Employer's Name. Telephone Number. Address. This form must be filed with the Industrial Commission at the address below. FOR INDUSTRIAL COMMISSION USE ONLY. Days. Compensation Paid $. Medical. $ ... NC.GOV. FORM 61. North Carolina Industrial Commission. IC File #. DENIAL OF WORKERS' COMPENSATION CLAIM. Emp. Code #. (G.S. §97-18(c) AND G.S. §97-18(d)). Workers' Compensation Forms ... All Employers or Carriers MUST file a Form 19 ?Employer's Report of Employee's Injury to the Industrial Commission? within five ...