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
  • Labor Forms
  • North Carolina Labor Forms
  • Nc Ic Form 25t 2019

Get Nc Ic Form 25t 2019-2025

FORM 25T 01/2019 PAGE 1 OF 1 NOTICE TO INJURED EMPLOYEE THIS FORM SHOULD BE RETURNED TO THE CARRIER AT THE ADDRESS ABOVE FOR PAYMENT. North Carolina Industrial Commission IC File ITEMIZED STATEMENT OF CHARGES FOR TRAVEL Emp* Code Carrier Code Carrier File The Use of This Form Is Required Under the Provisions of the Workers Compensation Act Employer FEIN Employee s Name Address Employer s Address City State - Home Telephone Zip Telephone Number Insurance Carrier Work Telephone Carrier s Address Carrier s Telephone Number Fax Number Employees are entitled to reimbursement of 0. 58 per mile for travel for medical treatment provided they travel 20 miles or more roundtrip starting January 1 2019. Special consideration will be given to employees who are totally disabled* No reimbursement is allowed for trips to purchase medications or supplies unless medically necessary. These items must be purchased on visits to medical providers G*S* 97-25. DATE / NAME OF MEDICAL PROVIDER OTHER EXPENSES If....

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

Tips on how to fill out, edit and sign NC IC Form 25T online

How to fill out and sign NC IC Form 25T online?

Get your online template and fill it in using progressive features. Enjoy smart fillable fields and interactivity. Follow the simple instructions below:

Locating a legal professional, organizing an appointment, and visiting the office for a confidential discussion can make filling out a NC IC Form 25T from beginning to end exhausting.

US Legal Forms assists you in quickly creating legally acceptable documents based on pre-designed online templates.

Quickly generate a NC IC Form 25T without the need for professional assistance. We already serve over 3 million clients leveraging our exclusive collection of legal forms. Join us now and gain access to the top collection of online blanks. Experience it for yourself!

  1. Obtain the NC IC Form 25T you need.
  2. Launch it using the online editor and begin modifying.
  3. Fill in the blank fields; names of involved parties, addresses, and phone numbers, etc.
  4. Adjust the template with personalized fillable sections.
  5. Insert the date/time and affix your electronic signature.
  6. Click Done after carefully reviewing everything.
  7. Download the finalized document to your device or print it out as a physical copy.

How to alter Get NC IC Form 25T 2019: customize forms digitally

Filling out papers is simple with intelligent online tools. Eliminate paperwork with easily obtainable Get NC IC Form 25T 2019 templates you can tailor online and print.

Preparing documents and forms should be more accessible, whether it is a regular aspect of one’s job or infrequent work. When someone needs to submit a Get NC IC Form 25T 2019, reviewing rules and guidelines on how to accurately fill out a form and what it should encompass may require considerable time and effort. However, if you locate the right Get NC IC Form 25T 2019 template, filling out a document will cease to be a hurdle with a smart editor available.

Uncover a wider array of tools you can incorporate into your document workflow. There’s no requirement to print, complete, and annotate forms manually. With an intelligent editing interface, all the necessary document processing functions are perpetually accessible. If you aim to enhance your workflow with Get NC IC Form 25T 2019 forms, locate the template in the directory, choose it, and discover a simpler approach to complete it.

It is also feasible to incorporate custom graphic elements into the form. Use the Arrow, Line, and Draw tools to alter the file. The more tools you are acquainted with, the easier it is to work with Get NC IC Form 25T 2019. Test the solution that provides everything needed to locate and modify forms within a single tab of your browser and forget about manual paperwork.

  1. If you want to insert text in any area of the form or add a text field, utilize the Text and Text field tools to expand the text in the form as much as needed.
  2. Utilize the Highlight tool to emphasize the important sections of the form.
  3. If you wish to obscure or eliminate certain text segments, employ the Blackout or Erase tools.
  4. Personalize the form by incorporating default graphic elements. Use the Circle, Check, and Cross tools to include these elements in the forms when necessary.
  5. For additional annotations, utilize the Sticky note tool and place as many notes on the forms page as necessary.
  6. If the form requires your initials or date, the editor has tools for that as well. Minimize the likelihood of mistakes using the Initials and Date tools.

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 25T - North Carolina Industrial Commission
Employees are entitled to reimbursement of $0.575 per mile for travel for medical...
Learn more
Filing Worker's Compensation Claims - Appalachian...
Mar 25, 2019 - In this case, the necessary Industrial Commission forms must be completed...
Learn more
IBM System/3 FORTRAN IV Reterence Manual...
aaSaaaoa aoaa ar aaaa sc28-6874-3. File No. 53-25. Program Product. a a. a a. a a ... this...
Learn more

Related links form

Cyril Ramaphosa Bursary 2020 Arogya Plus Proposal Form Pdf 2020 Saudi Prometric Exam For Nurses Sample Questions Download Pdf 2020 Ofw346 2020

Questions & Answers

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

Contact support

In North Carolina, businesses with three or more employees must provide workers' compensation coverage. Coverage ensures that employees receive benefits when injured on the job. To initiate a claim, use the NC IC Form 25T to document your injury, associated costs, and necessary details. Being informed about these requirements supports both employers and employees in protecting their rights.

Tennessee's workers' compensation system provides medical care and wage replacement for injured workers. Employees must report their injuries to their employer, who will then file a claim with their insurance provider. While the NC IC Form 25T is specific to North Carolina, understanding the procedures in Tennessee can help you navigate similar processes effectively.

In South Dakota, you must report a work injury to your employer within three days of the incident. This prompt reporting is important for ensuring your rights to benefits under workers' compensation. While the NC IC Form 25T pertains to North Carolina, be aware of specific local laws regarding deadlines and requirements in South Dakota to ensure you file your claim correctly.

To fill out a workers' comp form, you should carefully enter your personal information, details about your injury, and any medical treatments. Start with the NC IC Form 25T, which is specifically designed for North Carolina claims. Ensure you gather all required documentation, such as medical records and employer information, to support your claim effectively and accurately.

When speaking with a workers' comp doctor, avoid making statements that might downplay your injury, such as claiming your pain is minor. Also, do not suggest you might have been at fault for the injury. These comments can complicate your case, so it is vital to communicate honestly and clearly about your condition using the NC IC Form 25T as needed.

Filing a workers' comp claim can be worthwhile if you have a legitimate injury that affects your ability to work. Benefits can include coverage of medical expenses and lost wages. By using the NC IC Form 25T, you enhance your chances of receiving appropriate compensation and support during your recovery journey.

In North Carolina, you qualify for workers' comp if you have a work-related injury or illness that arose during your employment. This includes injuries sustained on the job site or illnesses caused by repetitive motions. To establish a valid case, ensure you have documentation, such as the NC IC Form 25T, detailing your condition and how it relates to your work.

To file a workers' comp claim in North Carolina, you first need to report your injury to your employer. Then, you should complete the relevant forms, such as the NC IC Form 25T, and submit them to the North Carolina Industrial Commission. It’s essential to follow the guidelines carefully to avoid delays in your claim process.

Receiving a workers' comp settlement check in North Carolina can take several weeks to a few months, depending on various factors. These factors include the negotiation process and paperwork completion. Once everything is finalized, the check is typically processed and mailed promptly. If you find the process confusing, platforms like uslegalforms can guide you through and ensure that everything is in order.

In North Carolina, certain groups may be exempt from workers' compensation coverage. This includes independent contractors, small employers with fewer than three employees, and specific agricultural workers. Understanding your status can help you navigate your rights and responsibilities. If you are unsure, consult legal resources or platforms like uslegalforms for assistance.

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 NC IC Form 25T
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
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
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 workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
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
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
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 workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
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