Information For Employers
Please see the Video Resources section below for more information.
Employer's Duties When a Worker is Injured
An employer must immediately report to its Workers’ Compensation insurance carrier any injury or occupational disease, or allegation by an employee of an injury or occupational disease, sustained in the course of employment for which the attention of a physician is needed or actually sought.
If an injury or alleged injury causes the employee to be absent from work for more than one day, or the employee’s medical expenses are greater than $2000.00, the employer or carrier must file with the Industrial Commission a Form 19 “Employer’s Report of Employee’s Injury to the Industrial Commission” within five days of learning of the injury or allegation.
If a Form 19 is filed with the Industrial Commission, the employer or carrier must provide a copy of the Form 19 to the employee, together with a blank Form 18 “Notice of Accident to Employer and Claim of Employee” for use by the employee.
Please see the forms section below for the relevant forms.
See Rule 104 of the Workers’ Compensation Rules of the North Carolina Industrial Commission
Understanding Your Workers' Compensation Obligations
A video presentation on the employer's obligations regarding workers' compensation insurance coverage.
Workers' Compensation Forms
All Employers or Carriers MUST file a Form 19 “Employer’s Report of Employee’s Injury to the Industrial Commission” within five days of learning of any injury or allegation of an injury. Employers should use the following form.
Standard Form 19 With Instructions
This Form 19 may be downloaded, printed, filled out and mailed into the NC Industrial Commission. Please read the attached instructions for required information and the mailing address.
This version of the Form 18 allows for filling out and submitting it on-line. You must have Adobe Reader version 7.0 or later and a valid e-mail address to submit this form on-line. Click Here to get the free Adobe Reader.
This Form 18 may be downloaded, printed, filled out and mailed into the NC Industrial Commission. Please read the attached instructions for required information and the mailing address.
This form is used if there is a claim by an Employee, Representative, or Dependent for Lung Disease, Including Asbestosis, Silicosis, and Byssinosis (G.S. §97-53)
This form should be used if an employee wishes to apply for Additional Medical Compensation (G.S. §97-25.1) (Applicable to Injuries by Accident or Occupational Illness on or After July 5, 1994)