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 28t

Get Form 28t

Form 28B must be filed to report the amount and last date compensation and/or medical compensation were paid. MAIL TO FORM 28T 2/01 PAGE 1 OF 1 NCIC CLAIMS SECTION 4335 MAIL SERVICE CENTER RALEIGH NC 27699-4335 MAIN TELEPHONE 919 807-2500 HELPLINE 800 688-8349 WEBSITE HTTP //WWW.IC.

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

How to fill out the Form 28t online

Filling out the Form 28t online is a crucial step for users involved in workers' compensation cases in North Carolina. This guide provides clear instructions on how to successfully complete each section of the form, ensuring your claims process runs smoothly.

Follow the steps to accurately complete and submit the Form 28t.

  1. Press the ‘Get Form’ button to retrieve the form and open it for editing.
  2. Enter the employee's name in the designated field to identify the individual associated with the compensation claim.
  3. Fill in the employer's name and current address, including city, state, and zip code, to provide the necessary context for the compensation process.
  4. Provide the employee's home telephone number and the last four digits of their social security number to verify their identity.
  5. Fill out the employee’s date of birth to confirm their age, which may be relevant for compensation calculations.
  6. Indicate the employer’s federal employer identification number (FEIN) alongside relevant codes (employee code, carrier code, and carrier file) for accurate tracking.
  7. Complete the section regarding the dates: the date of injury, the date disability began, and the date compensation was/will be terminated to create a timeline of the case.
  8. Provide the date the employee returned to work and indicate whether they are earning the same or greater wages, or reduced wages, at the time of completion.
  9. If the employee has returned to work at reduced wages, indicate if they are entitled to compensation for partial disability by selecting 'yes' or 'no'.
  10. If applicable, enter the name of the new employer and provide their contact details to reflect any changes in employment.
  11. Ensure that the form is signed by the employer or carrier/administrator, including their title and the date of signing.
  12. Finally, ensure that the form is submitted to the appropriate addresses and that copies are sent to the employee and their attorney, if applicable.
  13. Once all fields have been accurately filled out, save the changes, and download or print the form for submission.

Complete your Form 28t online today to manage your workers' compensation case efficiently.

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

Form 28T - North Carolina Industrial Commission...
FORM 28T. North Carolina Industrial Commission. IC File #. NOTICE OF TERMINATION OF...
Learn more
Washington State University - Application Menu...
Once you have finished the application, your data will be submitted over a secure...
Learn more
Walk-Behind Floor Scrubbers - Products | Nilfisk...
Designed for scrubbing and drying in tough and dirty environments such as construction...
Learn more

Related links form

Pto Sign Up Form Map & Directions Disc Jokes Dj 20208-Order Form Viaduct - Pita Pit

Questions & Answers

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

Contact support

Failing to submit Form 18 can lead to delayed processing of your workers' compensation claim. Without this essential form, you may miss out on receiving the benefits you are entitled to. It's crucial to manage all required documentation properly, including other related forms like Form 28t, to secure your benefits efficiently.

To maintain the values in your form on submission, you can prevent it from resetting by using JavaScript. Ensure that you use `event.preventDefault()` in the form's submit event listener. This approach helps you keep user input visible while utilizing or processing the data from forms such as Form 28t.

Preventing a form from submitting when validation fails is straightforward. Use JavaScript or HTML5 validation to check the input fields and call `event.preventDefault()` when validation does not pass. This technique ensures that users receive feedback on their input before the final submission, which is crucial for forms like Form 28t.

To prevent a redirect on form submission, you can again utilize JavaScript to manage the submit event. By calling `event.preventDefault()`, you stop the browser from redirecting after the form is submitted. This allows you to carry out any additional logic or validation before deciding how to proceed, which can be particularly useful when dealing with forms like Form 28t.

Form 26A offers several advantages, particularly in streamlining applications for legal claims. This form simplifies the collection of essential information, thereby facilitating the processing of your claim. Additionally, using Form 26A can help enhance your accuracy in filing, which indirectly supports a smoother transition to more complex forms like Form 28t.

To stop submitting a form, you can use JavaScript to prevent the default submission action. By adding an event listener for the 'submit' event and calling `event.preventDefault()`, you can control the behavior of the form. This method allows you to perform validation or modifications before submission, ensuring that the data submitted aligns with your needs, such as when using Form 28t.

Yes, you can file an Income Tax Return (ITR) under the new tax regime, as long as you meet the eligibility criteria set by the IRS. It's important to choose the tax structure that benefits you the most. Using the right forms and resources, such as Form 28t, can optimize your filing experience. For quick access to forms and guidance, refer to US Legal Forms for accurate information.

Filing Form 107 involves submitting it to the North Carolina Industrial Commission, similar to other forms like Form 28t. Begin by filling out the form thoroughly, ensuring all necessary information is accurate. Once completed, you can file it online or submit it through traditional mail. For tailored assistance and to access various legal documents, consider exploring the US Legal Forms platform.

Form 10iea should be filed with the North Carolina Industrial Commission. You can submit it through their website or send physical copies via mail, depending on your preference. Always verify that you have completed the form correctly to prevent any processing issues. If you need assistance with filing or navigating other documents, such as Form 28t, US Legal Forms can guide you.

Any employer who is covered by the Workers' Compensation Act in North Carolina is required to file Form 10iea. This includes those who fall under the definitions provided by state law regarding employee injuries. Complying with this requirement is crucial to ensure that all employees receive the benefits they are entitled to. If you're unsure about your obligations, US Legal Forms provides valuable resources to clarify the filing process.

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 28t
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
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
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