Note: The following constitutes the proposed
changes in this Rule. Added language appears in bold italic script, and
proposed deletions are indicated by strikeout. The changes will not go
into effect until further notice by the Industrial Commission.
Rule 104
Employer’s Report of Injury
(1) An employer shall immediately report to its carrier or
administrator any injury, or allegation by an employee of an injury, sustained in the
course of employment for which the attention of a physician is needed or actually sought.
Within five (5) days of knowledge of the injury or allegation, the
employer or carrier/administrator or its successor in interest shall file
with the Industrial Commission and provide a copy to the employee of a Form 19,
Employer’s Report of Employee’s Injury to the Employee
Industrial Commission, if injury causes the employee to be absent from work
for more than one (1) day and the employee’s medical compensation is
greater than an amount which is established periodically by the Industrial Commission in
its Minutes. The employer may record the employee’s or another person’s
description of the injury on said form without admitting the truth of the information.
(2) This Rule is effective March 15, 1995.
Go Back to January 10, 2000 Proposed Notice of Rule-Making Page
Return to N.C. Industrial Commission Home Page
Return to NCIC Alternate Home Page
N.C. Industrial Commission · 4319 Mail Service Center · Raleigh, NC 27699-4319