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Once you are on benefits, the WC insurance company will (in many situations) file a Form 24 (Application to terminate or suspend payment of compensation) to have your benefits terminated.
The central wage slip Form XIX contains details of the main employer. This includes payroll cycles (weekly, biweekly, monthly), job types, places of work, employee details, wage rates, overtime details, total wages, deductions, and branches related to actual wages paid.
Form 19 - This is the Report of Injury form to be completed by your employer. Form 18 - This is the Injured Worker Notice of Accident Claim form to be completed and filed with the Industrial Commission by you when you have been injured on the job.
If your employer denies your claim for workers compensation benefits, you have the right to request a hearing with the North Carolina Industrial Commission. To do so, you file a Form 33 Request for Hearing with the North Carolina Industrial Commission.
North Carolina Industrial Commission Form 22 is the Statement of Days Worked and Earnings of Injured Employee. This form contains a table wherein the hours worked and wages earned over the 52 weeks prior to the employees injury are recorded.
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Medicaid (Title XIX of the Social Security Act)​ The Medicaid program was authorized by Title XIX of the Social Security Act Amendments of 1965 (Public Law 89-97), which was signed into law by President Lyndon Johnson. Medicaid is a joint state-federal program.
Form XIX - Wages Slip.
Form 18. Employers are required to provide this form whenever a report of injury or occupational disease has been received from an employee. This form MUST be filled out completely by the employee and submitted to the Industrial Commission in addition to the Form 19.

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