Get Nc Form 19 2008
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How to fill out the NC Form 19 online
This guide provides clear and supportive instructions for filling out the NC Form 19, which is essential for reporting an employee's injury or occupational disease. By following these steps, users will ensure accurate completion of the form, facilitating the proper handling of claims.
Follow the steps to successfully complete the NC Form 19 online.
- Press the ‘Get Form’ button to access the online version of the NC Form 19 in your chosen editor.
- Enter the employer's code and carrier code in the designated fields. This information is essential for identifying the parties involved.
- Fill in the employer's FEIN and the carrier's file number, ensuring that all data is accurate as this will be critical for correspondence.
- Complete the employee's personal information, including their name, date of birth, and social security number as required.
- Provide the employer's name and address, making sure to include the city, state, and zip code.
- In the section regarding the injury, include details such as the date of the incident, time, location, and circumstances surrounding how the injury occurred.
- Document the details about the person injured, including their occupation, wages, and hours worked. Make sure to specify the injuries sustained and the respective body parts.
- Indicate whether the employee was treated by a physician and provide details about any medical facility visited.
- After completing the necessary fields and reviewing your entries for accuracy, users can save changes to the form.
- Once satisfied, download, print, or share the completed form as needed, ensuring it is sent to the appropriate channels.
Start the process of filling out the NC Form 19 online today to ensure compliance and proper documentation.
Yes, in North Carolina, there is a seven-day waiting period before you can begin receiving temporary total disability benefits. If you are unable to work for more than 21 days due to your injury, you may be eligible to receive benefits for the waiting period as well. It’s important to prepare your NC Form 19 to provide your employer with all the necessary information regarding your absence.
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