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The document is a report form required by the North Carolina Industrial Commission for employers or carriers to detail compensation and medical payments made under a compromise settlement agreement related to workers' compensation cases. It includes sections for employee and employer information, accident details, types of compensation paid, and total amounts, along with instructions for submission.

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Versions	Form popularity	Fillable & printable
2020	4.8 Satisfied (86 Votes)
2017	4.3 Satisfied (151 Votes)
2003	4.1 Satisfied (59 Votes)

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How long do you have to report a work injury in NC?

Under North Carolina law, every injured worker or their official representative should report an accident to an employer immediately or as soon as it is practicable. The notice must be given within 30 days of the date of the accident. If it is not, workers compensation benefits may not be payable.

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 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.

What is the Workers Compensation Act in NC?

Step-by-Step: How to File a Workers Compensation Claim in North Carolina Step 1: Report Your Injury to Your Employer. Step 2: Seek Medical Treatment. Step 3: Fill out Form 18 Workers Comp. Step 4: Wait for a Decision.