INDUSTRY CERTIFICATION ADDITION - REQUEST FORM 2025

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Form 33: Request That Claim Be Assigned for Hearing. If your workers compensation claim has been denied, you may appeal by requesting a hearing before the North Carolina Industrial Commission.
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.
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 You Shouldnt Tell Your Workers 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.
Under North Carolinas Workers Compensation Act, the limit for total disability benefit compensation is two-thirds of your pre-injury weekly wage. Your weekly wage includes not only your base pay but also bonuses and overtime. Finally, you need to know the maximum possible payout for the affected body part.

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Code 23L . 0103 - FORM 26A - EMPLOYERS ADMISSION OF EMPLOYEES RIGHT TO PERMANENT PARTIAL DISABILITY.
How to fill out NC Form 22? To fill out NC Form 22, taxpayers must provide their personal information, input their income figures, claim any deductions or credits they are eligible for, and ensure all required fields are completed accurately.

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