Get Form 18m 2009-2025
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How to fill out the Form 18m online
Filling out the Form 18m is a vital step for employees seeking additional medical compensation under the North Carolina Workers' Compensation Act. This guide will provide you with comprehensive instructions to navigate the form efficiently and accurately.
Follow the steps to fill out the Form 18m accurately.
- Press the ‘Get Form’ button to access the form online and open it in your preferred digital editor.
 - Begin filling out the employee's information, which includes the employee's name, social security number, and date of birth. Ensure that all information is accurate.
 - Provide the employer's details, including the employer's name, FEIN, and address. Verify that the information entered matches official documents.
 - In Section A, state the date of the accident or occupational disease occurrence and provide the reason for the additional medical compensation request.
 - Indicate whether any additional medical documentation is attached by checking the appropriate option. Remember to place your I.C. File number on each attachment.
 - Sign and date the form in the designated areas to validate your claim.
 - If applicable, complete Section B by having the treating physician fill in their information, including their signature, printed name, and address.
 - After reviewing the form for accuracy, you may save the changes, download the completed form, or print it out for submission.
 - Finally, submit the original form to the Industrial Commission at the provided address and ensure a signed copy is sent to the employer or carrier/administrator.
 
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