This is one of the official workers' compensation forms for the the state of North Carolina
Wake North Carolina Claim by Employee or Personal Representative for Workers' Compensation
Category:
State:
North Carolina
County:
Wake
Control #:
NC-18B-WC
Format:
PDF
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Description
How to fill out North Carolina Claim By Employee Or Personal Representative For Workers' Compensation?
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FAQ
Under North Carolina law, the statute of limitations for workers' compensation claims is two years from the date of the injury. To be clear, this is how long you have to file your claim.
A workers' compensation case typically takes about 12 to 14 months when the employee has no lawyer, a permanent disability, and refuses to negotiate. Settlement negotiations might take longer if you have a workers' compensation attorney on your side.
Injured NC workers who suffer wage loss because of a covered injury are entitled to disability payments under workers' comp laws in NC. These benefits are based on the employee's Average Weekly Wage. Disability payments can be for partial or total disability, and can be for a disability that is temporary or permanent.
The State Government Workers' Compensation Program is administered and managed by the Office of State Human Resources.
All Employers or Carriers MUST file a Form 19 ?Employer's Report of Employee's Injury to the Industrial Commission? within five days of learning of any injury or allegation of an injury. Employers should use the following form.
Injury/illness report. Employers typically request that employees report occupational injuries/illnesses immediately but no later than 24 to 48 hours after the incident. This allows an employer to timely investigate the matter and take safety measures to avoid further incidents.
North Carolina Industrial Commission (NCIC) Form 33 is the Request That Claim Be Assigned for Hearing. This form is used when the two parties, the injured employee and the employer/insurance company, cannot come to an agreement on compensation for the injuries the employee sustained and require a formal hearing.
Eight Steps to Take When Filing Your N.C. Workers' Compensation Claim Notify your employer of your work-related injury orally and in writing as soon as possible.See a doctor.Describe your work-related injury or illness to the doctor.With 30 days, report the injury to your employer in writing.Follow doctor's orders.
Just multiply the injury percentage rating by the employee's compensation rate, and then multiply that result by the number of weeks assigned to the injured body part.
Generally, you are expected to provide your employer with notice of your claim within 30 days of your accident. You can formally file a claim for workers' compensation benefits with the North Carolina Industrial Commission by filing Form 18. That form must be filed within two years of the date of your work accident.
