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Click ‘Get Form’ to open it in the editor.
Begin by entering your Employee Code, Carrier Code, and Carrier File number at the top of the form. This information is essential for tracking your claim.
Fill in the Employer FEIN, Employee’s Name, and Employer's Name along with their respective addresses. Ensure accuracy to avoid delays in processing.
In the travel expense section, document each trip by entering the date, total miles roundtrip, city of travel, and name of the medical provider visited.
List any other expenses incurred during travel such as motel stays or meals. Remember to include receipts for reimbursement eligibility.
Finally, certify your expenses by signing at the bottom of the form. Ensure that you mail a duplicate copy promptly to your employer or insurance carrier.
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A Form 18 establishes a legal claim of injury on your behalf if filed within two years of the date of injury or occupational disease, and gives the required written notice to the employer if a copy is submitted to the employer within 30 days of the injury.
What is the purpose of the Workers Compensation Act in North Carolina?
In 1929, North Carolina adopted its workers compensation act as a statutory compromise between employees and their employers. Under the Act, employees are guaranteed compensation for injuries by accident arising out of and in the course of employment, without having to prove negligence on the part of the employer.
Who is exempt from 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.
How much does workers comp pay 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.
What is the Workers Compensation Act in NC?
The new North Carolina Maximum Compensation Rate will be $1,380.00 effective January 1, 2025, while the new South Carolina Maximum Compensation Rate will be $1,134.43, also effective on January 1, 2025. The mileage rate for both states will be $0.70 cents per mile.
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