This is one of the official workers' compensation forms for the the state of North Carolina
Workers Compensation In North Carolina Agreement Forms
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Description
How to fill out North Carolina Agreement For Compensation For Workers' Compensation?
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FAQ
North Carolina Industrial Commission (NCIC) Form 33 is the Request That Claim Be Assigned for Hearing. This form is used when the two parties, the injured employee and the employer/insurance company, cannot come to an agreement on compensation for the injuries the employee sustained and require a formal hearing.
Workers' Comp laws in NC provide injured workers medical treatment for their injuries as well as wage replacement when they are disabled. Unlike the tort/negligence system which allows recovery for pain and suffering NC workers' compensation laws provide coverage primarily for economic losses.
Generally speaking, employers and companies in North Carolina are not required to purchase workers' compensation coverage for independent contractors, freelancers and subcontractors.
Your employer is required to report an injury to their Workers' Compensation insurance carrier for an injury sustained in the course of employment where the attention of a physician is needed or actually sought.
To date, the largest settlement payment in a workers' comp case came in March of 2017, with a $10 million settlement agreement.