We use cookies to improve security, personalize the user experience, enhance our marketing activities (including cooperating with our marketing partners) and for other business use.
Click "here" to read our Cookie Policy. By clicking "Accept" you agree to the use of cookies. Read less
Read more
Accept
Loading
Form preview
  • US Legal Forms
  • Form Library
  • More Forms
  • More Uncategorized Forms
  • Form 21 - North Carolina Industrial Commission - Nc . Gov - Ic Nc

Get Form 21 - North Carolina Industrial Commission - Nc . Gov - Ic Nc

North Carolina Industrial Commission IC File # AGREEMENT FOR COMPENSATION FOR DISABILITY (G.S. 97-82) The Use Of This Form Is Required Under The Provisions of The Workers' Compensation Act Employee's.

How it works

  1. Open form

    Open form follow the instructions

  2. Easily sign form

    Easily sign the form with your finger

  3. Share form

    Send filled & signed form or save

Tips on how to fill out, edit and sign Form 21 - North Carolina Industrial Commission - NC . Gov - Ic Nc online

How to fill out and sign Form 21 - North Carolina Industrial Commission - NC . Gov - Ic Nc online?

Get your online template and fill it in using progressive features. Enjoy smart fillable fields and interactivity. Follow the simple instructions below:

The times of distressing complex tax and legal documents are over. With US Legal Forms the entire process of creating legal documents is anxiety-free. The best editor is directly close at hand giving you multiple useful tools for completing a Form 21 - North Carolina Industrial Commission - NC . Gov - Ic Nc. The following tips, combined with the editor will help you with the entire process.

  1. Click on the Get Form option to start modifying.
  2. Activate the Wizard mode on the top toolbar to obtain more tips.
  3. Fill out every fillable field.
  4. Make sure the info you add to the Form 21 - North Carolina Industrial Commission - NC . Gov - Ic Nc is updated and correct.
  5. Include the date to the template with the Date function.
  6. Select the Sign button and make a signature. Feel free to use 3 available alternatives; typing, drawing, or uploading one.
  7. Check once more each and every field has been filled in properly.
  8. Click Done in the top right corne to save or send the file. There are several alternatives for getting the doc. An attachment in an email or through the mail as a hard copy, as an instant download.

We make completing any Form 21 - North Carolina Industrial Commission - NC . Gov - Ic Nc faster. Use it now!

How to edit Form 21 - North Carolina Industrial Commission - NC . Gov - Ic Nc: customize forms online

Fill out and sign your Form 21 - North Carolina Industrial Commission - NC . Gov - Ic Nc quickly and error-free. Find and edit, and sign customizable form templates in a comfort of a single tab.

Your document workflow can be a lot more efficient if all you need for modifying and handling the flow is arranged in one place. If you are searching for a Form 21 - North Carolina Industrial Commission - NC . Gov - Ic Nc form sample, this is a place to get it and fill it out without searching for third-party solutions. With this intelligent search engine and editing tool, you won’t need to look any further.

Just type the name of the Form 21 - North Carolina Industrial Commission - NC . Gov - Ic Nc or any other form and find the right template. If the sample seems relevant, you can start modifying it right on the spot by clicking Get form. No need to print out or even download it. Hover and click on the interactive fillable fields to insert your information and sign the form in a single editor.

Use more modifying tools to customize your template:

  • Check interactive checkboxes in forms by clicking on them. Check other areas of the Form 21 - North Carolina Industrial Commission - NC . Gov - Ic Nc form text by using the Cross, Check, and Circle tools
  • If you need to insert more textual content into the file, utilize the Text tool or add fillable fields with the respective button. You can also specify the content of each fillable field.
  • Add images to forms with the Image button. Add images from your device or capture them with your computer camera.
  • Add custom visual components to the document. Use Draw, Line, and Arrow tools to draw on the form.
  • Draw over the text in the document if you want to hide it or stress it. Cover text fragments with theErase and Highlight, or Blackout tool.
  • Add custom components like Initials or Date with the respective tools. They will be generated automatically.
  • Save the form on your computer or convert its format to the one you want.

When equipped with a smart forms catalog and a powerful document modifying solution, working with documentation is easier. Find the form you require, fill it out right away, and sign it on the spot without downloading it. Get your paperwork routine simplified with a solution designed for modifying forms.

Get form

Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.
Get form

Related content

NC Industrial Commission Forms - North Carolina...
(Note: Please e-mail completed forms to forms@ic.nc.gov.) Standard Form 18 with...
Learn more
workers' compensation employee handbook - NC.gov
Carolina Industrial Commission (NCIC) website, www.ic.nc.gov, or by calling (919) 807-2501...
Learn more
Hertford County, North Carolina - Wikipedia
Website, www.co.hertford.nc.us. Hertford County is a county located in the U.S. state of...
Learn more

Related links form

Formulaire De Demande De Prime Reward Request Form GEORGE W. FRIEDRICH FOUNDATION SCHOLARSHIP SA1928/37 Philips Flash Audio Player. 2GB* Healthstream Answers

Questions & Answers

Get answers to your most pressing questions about US Legal Forms API.

Contact support

If you are a worker in North Carolina who has been injured on the job, you may be wondering how long you can receive workers' compensation benefits. Currently, there is a 500-week cap on weekly disability payments, unless the injured worker can demonstrate that she is entitled to extended benefits past 500 weeks.

Form 22 is used in workers' compensation claims to calculate the injured employee's average weekly wage and resulting weekly disability compensation rate based on earnings for the 52 weeks prior to the date of injury.

The National Crime Information Center (NCIC) is a computerized index of missing persons and criminal information and is designed for the rapid exchange of information between criminal justice agencies.

The easiest and safest way for an injured worker to meet both the notice and filing requirements is to file a Form 18 Notice of Accident with the NC Industrial Commission and to send a copy to the employer. Do not delay. If you are injured on the job you should file a Form 18 as soon as possible.

The short answer is that workers' compensation will not pay you for your pain and suffering. Unlike other personal injury claims like car accidents, pain and suffering is not included as part of your recovery for workers' compensation.

Benefits for lost wages will only begin seven days after the date of the injury, and you will receive payment for the first seven days of missed work only if you are off work 21 days or more. In some instances, payments may begin while the injury is investigated further, pending a final decision.

The Industrial Commission administers the Workers' Compensation Act, the Tort Claims Act, the Childhood Vaccine-Related Injury Act, the Public Safety Employees' Death Benefits Act, the Act to Compensate Individuals Erroneously Convicted of Felonies, and the Eugenics Compensation Program.

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 days of learning of any injury or allegation of an injury.

Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.
Get form
If you believe that this page should be taken down, please follow our DMCA take down processhere.

Industry-leading security and compliance

US Legal Forms protects your data by complying with industry-specific security standards.
  • In businnes since 1997
    25+ years providing professional legal documents.
  • Accredited business
    Guarantees that a business meets BBB accreditation standards in the US and Canada.
  • Secured by Braintree
    Validated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.
Get Form 21 - North Carolina Industrial Commission - NC . Gov - Ic Nc
Get form
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232