Nc industrial commission form 18 2025

1. Click ‘Get Form’ to open the nc industrial commission form 18 in our editor.
2. Begin by entering the IC File #, which is essential for tracking your claim. This number will be provided in a return letter.
3. Fill in the employee’s name, employer's name, and their respective addresses. Ensure accuracy as this information is crucial for correspondence.
4. Provide the employee's Social Security Number, date of birth, and contact details. This data helps verify identity and eligibility.
5. Describe the injury or occupational disease clearly, including the date and time it occurred, along with specific body parts affected.
6. Indicate whether medical treatment was received and provide details about weekly wages and work hours.
7. If applicable, have another individual sign on behalf of the employee. Ensure that all signatures are completed before submission.
8. Once completed, save your document and send it via email or mail to the appropriate address provided on the form.

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