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  • 25c Ncic Form

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FORM 25C. 1/2004. PAGE 1 OF 1. FORM 25C. NORTH CAROLINA ... WEBSITE: HTTP://WWW.IC.NC.GOV/. North Carolina Industrial Commission. IC File #.

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How to fill out the 25c Ncic Form online

The 25c Ncic Form is a crucial document required by the North Carolina Industrial Commission to authorize rehabilitation professionals to obtain necessary medical records related to work-related injuries or occupational diseases. This guide will assist users in filling out the form accurately and efficiently online.

Follow the steps to complete the 25c Ncic Form online

  1. Click the ‘Get Form’ button to retrieve the form and open it in your web browser.
  2. Enter your employee code number in the designated field. This is typically provided by your employer.
  3. Fill in the carrier code and the insurance carrier's name. Make sure this matches the information provided by your employer.
  4. Input the employer's FEIN (Federal Employer Identification Number) in the specified box.
  5. Type in the employee's full name as it appears on official documents.
  6. Provide the employer's name and address, ensuring that the address includes the city, state, and zip code.
  7. List your home telephone number and any applicable work telephone number in the format specified.
  8. Fill out the insurance carrier's details, including their address and telephone number.
  9. Enter your social security number and date of birth in the corresponding fields.
  10. Specify your sex by checking the appropriate box.
  11. As the employee-claimant, print your name in the authorization section and detail the rehabilitation professional's name and address.
  12. Include the rehabilitation professional’s telephone number.
  13. Sign and date the form in the designated area.
  14. Once all fields are filled out accurately, save your changes. You may choose to download, print, or share the filled form as needed.

Complete your 25c Ncic Form online today for efficient handling of your medical records.

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Form 18 is another essential document in the North Carolina workers' compensation system. This form serves as a formal claim for benefits, detailing the injury and its impact on your work life. Completing and submitting Form 18 is crucial for receiving workers' compensation benefits. Be sure to also keep the 25c Ncic Form in mind, as it plays an important role in your overall documentation.

Filing for workers' compensation in North Carolina begins with reporting your injury to your employer. Ensure you complete the necessary forms, including Form 19, within the required timeframe. After your employer has reported the injury, you may file a claim with the NC Industrial Commission. Utilizing resources like the 25c Ncic Form can help clarify the process and support your claim.

The Workers Compensation Act in North Carolina establishes the rights of injured workers. It outlines the benefits employees can receive, including medical care and compensation for lost wages. This legislation also mandates that employers carry insurance to cover these costs. The law emphasizes the importance of proper documentation, such as the 25c Ncic Form, to support claim filings.

In North Carolina, you must report a work injury to your employer within 30 days of its occurrence. Quick reporting is essential to ensure that your workers' comp claim remains valid. Remember to gather all relevant documentation, including the 25c Ncic Form, to support your claim effectively.

To file workers' compensation in North Carolina, you should notify your employer about your injury right away. After that, complete the appropriate forms, including the necessary 25c Ncic Form. You can easily access these forms through the USLegalForms platform, which offers comprehensive guidance on filing your claim accurately.

In North Carolina, you typically have two years from the date of your injury to file a workers' compensation claim. The timeline can vary based on particular circumstances, so it's wise to act promptly. Utilizing the proper forms, such as the 25c Ncic Form, can help streamline your filing process and maintain your eligibility.

The Workers' Compensation Act in North Carolina is a law designed to provide financial benefits to employees injured in the course of their employment. This act ensures that workers receive necessary medical care and compensation for lost wages. Understanding this law helps both employers and employees navigate their rights and responsibilities. For further clarification and documentation, the 25c Ncic Form serves as a helpful resource.

The NC tax withholding form, often referred to as the NC-4, is used to determine the amount of state income tax to withhold from an employee's paycheck. Employers must ensure they complete this form accurately to comply with state tax laws. While it does not directly relate to the 25c Ncic Form, having the correct tax information is crucial for overall payroll management and statutory compliance.

Form 19 is a critical document used in North Carolina for notifying the Industrial Commission about a workers' compensation claim. It outlines the details of the injury, including when and how it occurred, which is essential for processing your claim effectively. Accurate completion of this form can significantly influence the outcome of your claim. Additionally, keep in mind that the 25c Ncic Form may also be necessary to support your case.

Filing for workers' compensation in North Carolina involves several steps to ensure you cover all necessary information. First, report the injury to your employer and complete the appropriate forms, including the 25c Ncic Form, if applicable. After your employer submits the claim to their insurance carrier, be sure to follow up and provide any additional documentation as needed. This process can be simplified by using resources available on uslegalforms.

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© 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
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
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 WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
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