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Name of the workman . For the week/fought/month/ending . 1. Number of days worked . 2. Number of units worked in case of piece rate workers . 3. Rate of daily wages/piece rate 4. Amount of overtime wages . 5. Gross wages payable 6. Deductions, if any . 7. Net amount of wages paid .

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How to fill out the Form Xix online

Filling out the Form Xix is a straightforward process that allows you to accurately report wage information for workers. This guide will walk you through each section of the form, ensuring that you understand how to provide the necessary details.

Follow the steps to successfully complete the Form Xix online.

  1. Click the ‘Get Form’ button to obtain the form and open it in the editor.
  2. Enter the name and address of the contractor in the designated section at the top of the form.
  3. Provide the name and the father’s or partner’s name of the worker as required.
  4. Specify the nature and location of the work being performed by the worker.
  5. Indicate the name of the worker again for clarity.
  6. Fill in the period for which the wage slip is valid (week, fortnight, or month) in the appropriate field.
  7. Report the number of days worked by the employee during the specified time frame.
  8. If the worker is paid by piece rate, enter the total number of units worked in this section.
  9. Detail the rate of daily wages or piece rate applicable to the worker.
  10. Calculate and input the amount of any overtime wages that have been accrued.
  11. Sum up and write down the gross wages payable to the worker.
  12. List any deductions that should be taken from the gross wages, if applicable.
  13. Finally, provide the net amount of wages that have been paid to the worker.
  14. After reviewing the information for accuracy, you can save changes, download, print, or share the completed Form Xix.

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This covers establishment as well as principal employer particulars with reference to wage cycle ( weekly, fortnightly,and monthly), nature of work, location of work, employee details, wage rate, overtime work particulars, gross wage, deductions, and actual wage paid.

Form 19 - This is the Report of Injury form to be completed by your employer. Form 18 - This is the Injured Worker Notice of Accident Claim form to be completed and filed with the Industrial Commission by you when you have been injured on the job.

About the Central Wage Slip Form XIX It incorporates all details regarding the contractor and the workers like name, father's name, nature of work, location, and whether the central wage slip Form XIX is prepared for a week or a month.

Form 18. This is where you begin when you have a claim. This form MUST be filled out completely and submitted to the Industrial Commission when you have been injured on the job. (Note: Please e-mail completed forms to forms@ic.nc.gov.)

Medicaid (Title XIX of the Social Security Act)​ The Medicaid program was authorized by Title XIX of the Social Security Act Amendments of 1965 (Public Law 89-97), which was signed into law by President Lyndon Johnson. Medicaid is a joint state-federal program.

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