Nc form 28c 2025

Show details

4.3 out of 5

151 votes

The document is a report form required by the North Carolina Industrial Commission for employers or carriers to detail compensation and medical payments made under a compromise settlement agreement related to workers' compensation cases. It includes sections for employee and employer information, accident details, salary continuation, various types of compensation paid, and total amounts. The form must be filed with the Industrial Commission.

Here's how it works

01. Edit your form 28c online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send it via email, link, or fax. You can also download it, export it or print it out.

The easiest way to edit Nc form 28c in PDF format online

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Handling documents with our comprehensive and user-friendly PDF editor is straightforward. Follow the instructions below to fill out Nc form 28c online quickly and easily:

Sign in to your account. Sign up with your email and password or register a free account to test the product prior to upgrading the subscription.
Import a form. Drag and drop the file from your device or import it from other services, like Google Drive, OneDrive, Dropbox, or an external link.
Edit Nc form 28c. Easily add and highlight text, insert pictures, checkmarks, and symbols, drop new fillable areas, and rearrange or delete pages from your paperwork.
Get the Nc form 28c accomplished. Download your updated document, export it to the cloud, print it from the editor, or share it with others through a Shareable link or as an email attachment.

Make the most of DocHub, the most straightforward editor to quickly manage your paperwork online!

See more nc form 28c versions

We've got more versions of the nc form 28c form. Select the right nc form 28c version from the list and start editing it straight away!

Versions	Form popularity	Fillable & printable
2020	4.8 Satisfied (86 Votes)
2017	4.3 Satisfied (151 Votes)
2003	4.1 Satisfied (59 Votes)

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Who is exempt from workers comp in North Carolina?

Those businesses that employ three or more employees are required to carry workers compensation insurance except agricultural employment with fewer than 10 employees, certain sawmill and logging operations and all domestic employees are exempt.

How long can you be on workers comp in NC?

Lost wage compensation is payable if an employee is unable to work for more than 7 days. Temporary total and partial disability benefits are paid for up to 500 weeks until you return to work.

Do you get 100% pay on workers comp?

In that case, you may qualify for time-loss compensation due to the fact that youre temporarily unable to return to work. Typically, the workers comp system in most states offers 66% of your wages. Depending on the state, you may receive your salary benefits weekly, bi-weekly, or once a month.

How much does Workmans Comp pay in NC?

The amount of the TTD payment in workers comp in NC is 2/3rds of the employees Average Weekly Wage, as described below. Payments are made weekly unless the NC Industrial Commission orders otherwise.

Does workers comp pay for pain and suffering in NC?

Unlike the tort/negligence system, which allows recovery for pain and suffering, NC workers compensation laws focus mainly on economic losses, such as lost earning potential and medical treatment.

Can you be terminated while on workers comp in NC?

Employers cannot legally fire an employee just for filing a workers compensation claim or being injured. This is to prevent retaliation. However, they can be fired for valid reasons like poor performance or company layoffs.

How is workers comp calculated in NC?

The wage replacement will be based on a portion of the employees average weekly pay that was already in place before the injury occurred. In North Carolina, the rate is typically two-thirds of the individuals weekly rate.

How is workers comp settlement calculated in NC?

Apply the two-thirds rule: Calculate two-thirds of the comparable employees average weekly earnings to determine the workers comp wage benefit for the injured employee.

Nc form 28c 2025

Here's how it works