Form 28u form 2025

Show details

4.3 out of 5

87 votes

The document is a form from the North Carolina Industrial Commission for employees requesting the reinstatement of total disability compensation after an unsuccessful trial return to work. It requires the employee to provide personal information, details about their trial return to work, and a statement from an authorized treating physician certifying their inability to continue working due to injury. The form also includes a section for the employee to authorize the release of employment information from their last employer.

Here's how it works

01. Edit your form 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 fastest way to redact Form 28u form online

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Dochub is the best editor for updating your documents online. Adhere to this simple guideline edit Form 28u form in PDF format online free of charge:

Sign up and sign in. Register for a free account, set a strong password, and go through email verification to start managing your forms.
Upload a document. Click on New Document and select the form importing option: add Form 28u form from your device, the cloud, or a secure link.
Make adjustments to the template. Take advantage of the upper and left panel tools to modify Form 28u form. Insert and customize text, pictures, and fillable areas, whiteout unneeded details, highlight the significant ones, and comment on your updates.
Get your documentation completed. Send the form to other parties via email, create a link for quicker document sharing, export the template to the cloud, or save it on your device in the current version or with Audit Trail added.

Explore all the advantages of our editor today!

See more form 28u form versions

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

Versions	Form popularity	Fillable & printable
2020	4.8 Satisfied (116 Votes)
2017	4.3 Satisfied (87 Votes)
2016	4.4 Satisfied (202 Votes)
2002	4.3 Satisfied (27 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.

What are the three fundamental requirements for benefits under workers compensation?

Your employer must carry workers comp insurance. You must have a work-related injury or illness. You must meet your states deadlines for reporting the injury and filing a workers comp claim.

How does Workmans Comp work in North Carolina?

Workers comp benefits are awarded on a no-fault basis, meaning it doesnt matter whos fault the work accident or illness was. In fact, you are entitled to benefits in North Carolina even if you were partially or fully responsible for your injury.

How much does NC Workers Comp pay?

State law provides medical and disability compensation including a weekly compensation benefit for time lost from work which is 66 2/3% of the employees average weekly wage up to a maximum established annually by the North Carolina Industrial Commission.

What qualifies for workers comp in NC?

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.

What not to say to a workmans comp doctor?

Never lie about prior injuries, pre-existing conditions, or medical history. Never lie about the extent of your workplace injury or how it happened. Do not exaggerate your symptoms, including pain or functionality.

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.

Form 28u form 2025

Here's how it works