Form 62 Document Template

Due to popular demand, the N.C. Industrial Commission has created a Microsoft® Word 2000 document template for Form 62Notice of Reinstatement or Modification of Compensation (G.S. §97-32.1 and G.S. §97-18(b)) (revised 10/06). After you download this file and install it in your document template directory, you may open a new document based on this template by opening Word 2000, going to the Menu Bar, selecting File, choosing New, and then double-clicking on the Form 62 icon.

NOTE:  You may modify FORM62.DOT to include the employer's name, address, telephone number, etc., by opening the template in Word 2000, choosing Tools from the Menu Bar, selecting the Unprotect Document option, and filling in the appropriate blanks. Afterwards, you must select Tools, choose Protect Document, click Forms:, click OK, and then save (Ctrl S) the template.

The Industrial Commission requires that all forms be submitted on white paper and no colored forms will be accepted from this point forward due to the use of an electronic document management system. Paper forms are converted to images and the color is no longer useful but degrades the quality of the electronic image.

Form 62 Document File

If you prefer to download a document version of Form 62Notice of Reinstatement or Modification of Compensation (G.S. §97-32.1 and G.S. §97-18(b)) (revised 10/06), click here.

NOTE:  You may modify FORM62.DOC to include the employer's name, address, telephone number, etc., by opening the document in Word 2000, choosing Tools from the Menu Bar, selecting the Unprotect Document option, and filling in the appropriate blanks. Afterwards, you must select Tools, choose Protect Document, click Forms:, click OK, and then save (Ctrl S) the document.

Form 62 PDF File

You may print and fill out the following PDF (Portable Document Format) version of the Form 62Notice of Reinstatement or Modification of Compensation (G.S. §97-32.1 and G.S. §97-18(b)) (revised 10/06), and submit it to the commission in lieu of the NCIC's preprinted forms. To view or print this PDF file, you first must download and install a copy of the Adobe® Acrobat® Reader. Click the button below to obtain your FREE copy of Adobe® Acrobat® Reader. (NOTE: Please pay close attention to this software's installation instructions and licensing agreement.)

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Click here to view or download PDF versions of all N.C. Industrial Commission forms.


N.C. Industrial Commission ·   4340 Mail Service Center ·   Raleigh, NC 27699-4340
Main Telephone: (919) 807-2500 ·   Fax: (919) 715-0282
NCIC Home Page: http://www.ic.nc.gov/