Loading
            
                Get North Carolina Form 51
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 North Carolina Form 51 online
Filling out the North Carolina Form 51 is an essential task for carriers and self-insured employers to report medical and lost time cases. This guide provides a step-by-step approach to complete the form with clarity and ease, ensuring compliance with regulatory requirements.
Follow the steps to complete the form accurately and efficiently.
- Click ‘Get Form’ button to obtain the form and open it for editing.
 - Identify the section for your organization type. Enter the name and code number of the Carrier, Self-Insured Employer, or Group Self-Insured as certified by the North Carolina Department of Insurance.
 - In the first section, fill out the total number of 'Medical Only' cases and the total amount paid for these cases. These amounts must reflect the medical expenses incurred.
 - If applicable, use the next section to provide details only if you are a Managed Care Insurer or applying the Industrial Commission Medical Fee Schedule. Here, complete the fields related to Lost Time cases, hospital expenses, and total medical compensation paid.
 - Ensure that all entries are accurate and double-check the figures before proceeding.
 - Complete the address of the submitting office and specify the reporting year, indicating the period from July 1 to June 30.
 - Once all sections are filled, save your changes, and you may choose to download, print, or share the completed form as needed.
 
Complete your documents online to ensure a smooth filing process.
To secure workers’ compensation in North Carolina, you need to report your injury to your employer as soon as possible. After notifying them, you will fill out specific forms to initiate the claim, including potentially using the North Carolina Form 51 for documentation. Staying informed about your rights and the claims process can help ensure you receive the benefits you deserve.
Industry-leading security and compliance
US Legal Forms protects your data by complying with industry-specific security standards.
        - 
                    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.