Form 18m 2026

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4 out of 5

23 votes

The document is an application form for employees in North Carolina seeking additional medical compensation under the Workers' Compensation Act due to injuries by accident or occupational diseases. It requires details about the employee, employer, and the nature of the claim, along with optional supporting documentation and a statement from the treating physician.

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Click ‘Get Form’ to open it in the editor.
Begin by entering the employee's name and address in the designated fields. Ensure accuracy as this information is crucial for processing.
Fill in the employer's details, including their name, address, and FEIN. This section helps identify the employer associated with the claim.
In Section A, state the date of injury and provide a reason for requesting additional medical compensation. Be clear and concise to avoid delays.
Indicate whether additional medical documentation is attached. If so, remember to place your I.C. File # on each attachment for reference.
Sign and date the form at the bottom of Section A to validate your application.
If applicable, complete Section B by having your treating physician fill out their information and provide their statement regarding additional medical needs.
Finally, send the original form to the Industrial Commission at the specified address and keep a copy for your records.

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Versions	Form popularity	Fillable & printable
2020	4.8 Satisfied (225 Votes)
2017	4.4 Satisfied (221 Votes)
2001	4 Satisfied (23 Votes)

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What is form 18 in NC workers compensation?

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 are the benefits of using Form 26A?

To provide relief in such cases, the government has introduced Form 26A, which allows deductors to docHub that the payee has already included the income in their return and paid the necessary taxes. This form acts as a safeguard against disallowance under Section 201(1) and Section 40(a)(ia).

What is a form 26A in NC?

11 N.C. Admin. Code 23L . 0103 - FORM 26A - EMPLOYERS ADMISSION OF EMPLOYEES RIGHT TO PERMANENT PARTIAL DISABILITY | State Regulations | US Law | LII / Legal Information Institute.

How to file a workers compensation claim in North Carolina?

While filing for workers compensation varies from case to case, the typical process is as follows: 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.