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  • Nc Ic Form 25t 2013

Get Nc Ic Form 25t 2013

FORM 25T 12/2013 PAGE 1 OF 1 FOR ASSISTANCE CALL N.C. INDUSTRIAL COMMISSION MAIN TELEPHONE 919 807-2500 WORKERS COMPENSATION INFORMATION SPECIALISTS 800 688-8349. 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. 56 per mile for travel for medical treatment provided they travel 20 miles or more roundtrip starting January 1 2014. 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 / TOTAL MILES R....

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How to fill out the NC IC Form 25T online

Filing the NC IC Form 25T online is essential for employees requesting reimbursement for travel expenses related to medical treatment under the Workers' Compensation Act. This guide provides detailed instructions on how to navigate the form easily and accurately.

Follow the steps to successfully complete the form.

  1. Press the ‘Get Form’ button to access the form and open it in the editor.
  2. Begin by entering the employee's and employer's information in the corresponding fields. This includes the employee’s name, employer's name, FEIN, and contact information.
  3. Input the insurance carrier details, including the carrier code and file number. Ensure to verify the contact number and address for accuracy.
  4. In the expenses section, fill in the date of travel, total miles traveled round trip, the name of the medical provider, and any other expenses incurred during the trip.
  5. Calculate the total reimbursement by multiplying the total miles by the applicable mileage rate, which is currently $0.56 per mile. Additionally, include any approved overnight stay or meal expenses, as well as other related expenses.
  6. certify the accuracy of the expenses by signing in the designated area. Once all sections are complete, review the information for correctness.
  7. After completing the form, you can save your changes, download the document for your records, print it, or share it as needed.

Complete the NC IC Form 25T online to ensure timely processing of your travel expense reimbursement.

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In North Carolina, almost all employers are required to carry workers' compensation insurance. This coverage is essential for protecting employees from financial loss due to work-related injuries. If you are unsure about your rights and obligations, the NC IC Form 25T can guide you through the necessary steps.

To fill out a Workmans Comp form, start by gathering necessary information such as your personal details, the details of your employer, and the specifics of your injury. Make sure to accurately describe how the injury occurred and what treatment you received. If you need guidance, consider using the NC IC Form 25T to help provide all required information correctly.

An employer in North Carolina has 30 days to file a workers' comp claim after they are notified of an injury. They must promptly submit the necessary paperwork, including the NC IC Form 25T, to their insurance company. This timely action helps protect the rights of the injured worker and expedites the process.

Yes, you can file a workers' comp claim after termination in North Carolina. Your eligibility for benefits does not depend on your employment status at the time of the injury. It is still important to complete the NC IC Form 25T and submit it within the appropriate time frames to ensure your claim is processed correctly.

In North Carolina, you can file a workers' comp claim within two years from the date of the injury or from when you became aware of your injury. Filing late can jeopardize your chances of receiving benefits, so it is crucial to submit the NC IC Form 25T without delay. Always consult with a professional if you are uncertain about your time frame.

Yes, there are specific time limits for receiving compensation under North Carolina workers' compensation laws. Generally, you must file a claim within two years of the date of injury or the date you realized your injury. Timely submission of the NC IC Form 25T can help streamline the process, ensuring you meet necessary deadlines and receive the compensation you deserve.

Form 26A is an agreement between the employee and employer regarding the payment of compensation for a workers' compensation claim. This form outlines the terms of the settlement and is submitted to the NC Industrial Commission for approval. Understanding how to fill out and submit Form 26A can be made easier with the guidance of the NC IC Form 25T.

Form 18 is a crucial document in North Carolina's workers' compensation process, as it serves as the employee's notice of claim. This form alerts the employer and the North Carolina Industrial Commission about the injury. Submitting Form 18 promptly is vital for your case, and utilizing the NC IC Form 25T can help ensure all necessary steps are properly followed.

Employers in North Carolina have a specific time frame within which to file workers' compensation claims. Generally, they should file the claim within 30 days of receiving notice of the employee's injury. To ensure compliance and proper processing, refer to the NC IC Form 25T for detailed instructions on filing requirements.

In North Carolina, certain individuals may be exempt from workers' compensation, including domestic workers, farm laborers, and some licensed professionals. Additionally, businesses with fewer than three employees may not be required to provide coverage. Understanding these exemptions is crucial, and you can find detailed information on the NC IC Form 25T to guide you through your specific situation.

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Get NC IC Form 25T
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© 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
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
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 WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
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
NC IC Form 25T
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