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Workers Compensation for North Carolina

  • Agreement For Compensation For Death
    File .pdf (14.8 Kbytes)
  • Agreement For Compensation For Disability (g.s. 97-82)
    File .pdf (19.3 Kbytes)
  • Agreement For Payment Of Unpaid Compensation In Unrelated Death Cases (g.s. 97-37)
    File .pdf (57.9 Kbytes)
  • Annual Consolidated Fiscal Report Of Medical Only Or Lost Time Cases
    File .pdf (13.2 Kbytes)
  • Application For Appointment Of Guardian Ad Litem
    File .pdf (79.9 Kbytes)
  • Application For Lump Sum Award
    File .pdf (16.9 Kbytes)
  • Application For Review
    File .pdf (118.7 Kbytes)
  • Application To Terminate Or Suspend Payment Of Compensation (g.s. 97-18.1)
    File .pdf (97.6 Kbytes)
  • Authorization For Rehabilitation Professional To Obtain Medical Records Of Current Treatment
    File .pdf (13.4 Kbytes)
  • Award Approving Agreement For Compensation For Death
    File .pdf (11.2 Kbytes)
  • Claim By Employee, Representative, Or Dependent For Lung Disease, Including Asbestosis, Silicosis, & Byssinosis (g.s. 97-53)
    File .pdf (22.2 Kbytes)
  • Claim For Benefits Under The Law Enforcement Officers, Firemens, Rescue Squad Workers & Civil Air Patrol Members Death Benefit
    File .pdf (7.4 Kbytes)
  • Claim For Damages Under Tort Claims Act, G.s. 143-291 Et Seq.
    File .pdf (68.4 Kbytes)
  • Claimant`s Petition For Compensation Pursuant To N.c. Gen. Stat. 148-82 Et Seq.
    File .pdf (80.6 Kbytes)
  • Denial Of Workers` Compensation Claim (g.s. 97-18(c) & G.s. 97-18(d)
    File .pdf (13.7 Kbytes)
  • Designation Of Mediator
    File .pdf (5.8 Kbytes)
  • Employee`s Application For Additional Medical Compensation (g.s. 97-25.1) (applicable To Injuries By Accident Or Occupational Il
    File .pdf (56.3 Kbytes)
  • Employee`s Request That Compensation Be Reinstated After Unsuccessful Trial Return To Work (g.s. 97-32.1)
    File .pdf (18.1 Kbytes)
  • Employer`s Admission Of Employee`s Right To Compensation Pursuant To (g.s. 97-18(b)
    File .pdf (14.1 Kbytes)
  • Employer`s Report Of Injury To Employee
    File .pdf (21.7 Kbytes)
  • Evaluation For Permanent Impairment
    File .pdf (107.9 Kbytes)
  • Form 18 With Instructions
    File .pdf (128.8 Kbytes)
  • Ia-1 First Report Of Injury Form
    File .pdf (113.2 Kbytes)
  • Informacin Sobre Compensacin Laboral Y Instrucciones Para Patronos Y Empleados
    File .pdf (77.7 Kbytes)
  • Interactive Version Of Form 19 - Employer`s Report Of Injury To Employee
    File .pdf (59.6 Kbytes)
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