Get Ncic Form 28b
How it works
-
Open form follow the instructions
-
Easily sign the form with your finger
-
Send filled & signed form or save
How to fill out the Ncic Form 28b online
Filling out the Ncic Form 28b online is an essential step in reporting compensation and medical payments under the Workers' Compensation Act. This guide provides a clear, step-by-step approach to ensure that users can complete this process smoothly, regardless of their prior experience with legal documents.
Follow the steps to complete the Ncic Form 28b online:
- Click the ‘Get Form’ button to retrieve the Ncic Form 28b and open it in your preferred online editor for filling out the necessary information.
- Enter the IC File number at the top of the form in the designated field.
- Fill in the Employer Code number and the Carrier Code number in the respective fields.
- Provide the Employer's Federal Employer Identification Number (FEIN) in the designated area.
- Complete the employee’s name and address fields accurately.
- Input the employer's name and address in the specified section.
- Indicate the employee’s date of birth and social security number in the appropriate fields.
- Fill out the insurance carrier's name and address, along with the carrier's telephone number.
- Document the date of the accident or the start of the occupational disease, as well as whether the employee's salary was continued.
- Provide the total dollar amount for various types of compensation, including temporary total, temporary partial, and permanent partial compensations.
- Enter totals for medical payments and any miscellaneous payments, such as funeral benefits or expert witness fees, ensuring all figures are accurate.
- Answer questions regarding the employee's return to work status, including the date and wage upon returning.
- Sign the form by the employer or the carrier/administrator, noting their title and the date of signing.
- After filling out the form, save all changes made, and download, print, or share the completed document as necessary.
Complete your Ncic Form 28b online today for a seamless reporting experience.
Filing for workers' compensation in North Carolina involves several steps, including completing the required forms and submitting documentation. You will need to file specific forms, including the Ncic Form 28b, to ensure that your claim is processed efficiently. For additional assistance, you can explore platforms like uslegalforms, which provide the necessary forms and guidance.
Industry-leading security and compliance
-
In businnes since 199725+ years providing professional legal documents.
-
Accredited businessGuarantees that a business meets BBB accreditation standards in the US and Canada.
-
Secured by BraintreeValidated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.