Get Nc Ncic 44 2011

Navigating the NC NCIC 44 form can be straightforward with the right guidance. This guide provides step-by-step instructions to help users accurately complete the application for review, ensuring compliance with the North Carolina Workers' Compensation Act.

Follow the steps to effectively complete the NC NCIC 44 form.

1. Press the ‘Get Form’ button to obtain the form and open it for editing.
2. Begin by entering the IC file number at the top of the form. This number is essential for tracking your application within the North Carolina Industrial Commission.
3. Fill in the employer code and carrier code. These codes help identify the employer and the insurance carrier related to the case.
4. Include the employer's FEIN (Federal Employer Identification Number), which is necessary for proper identification of the employer.
5. In the designated fields, clearly provide the names and addresses for the plaintiff (the person submitting the appeal) and defendant (the opposing party). Ensure accuracy in these details as they pertain to the case.
6. Next, enter the insurer's name and address. It is important this information is correct for sending notifications.
7. In the section for stating grounds for appeal, list the errors alleged. You may describe up to thirteen specific errors; if more space is needed, attach an additional page.
8. Review all entries for accuracy to avoid any unnecessary delays in processing your application.
9. Once completed, sign and date the form in the spaces provided. Ensure that any other required signatures are also included on the document.
10. Save the changes to your form. You may then download, print, or share the form as needed.

Complete your NC NCIC 44 form online today to ensure your application for review is submitted promptly.