Information For Employers
Employers Responsibilities
Employer’s Obligation to Carry Workers Compensation Insurance
For information regarding workers’ compensation insurance requirements, please see the links below for educational PRESENTATIONS in English and Spanish.
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 $4000.00, 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
Educational Presentations
Understanding Your Workers' Compensation Obligations
Click below to view PDF versions of two PowerPoint presentations 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.
Form 19
This is the first report of injury (FROI) that an employer submits when an employee has a claim. Effective June 1, 2014, all first reports of injury (FROI) for injuries occurring after April 1, 1997 must be filed electronically via EDI unless they qualify for one of two exceptions. The only exceptions to electronic filing of FROI's are claims (1) in which a Form 18 was previously filed and a six-character alphanumeric number has already been assigned, or (2) for an occupational disease in which a Form 18B has already been filed.
If the claim meets one of the two exceptions listed above, the Form 19 may be downloaded, printed, filled out, and mailed into the N.C. Industrial Commission, faxed to the N.C. Industrial Commission at 919-715-0282, or e-mailed to forms@ic.nc.gov. Please note that if the claim does not meet one of the exceptions outlined above, the Form 19 will be returned without processing, and an FROI must be submitted via EDI.
Standard Form 19 with Instructions
If the claim meets one of the two exceptions outlined above, this PDF version of the Form 19 may be downloaded, printed, filled out, and mailed to the NC Industrial Commission at the address at the bottom of page one. Please read the attached instructions. If the claim does not meet one of the two exceptions, this form will be returned without processing; and an FROI will have to be submitted via EDI.
Standard Form 18 with Instructions
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.
Form 18B
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)
Form 18M
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) A defendant who wishes to file a response defending against a Form 18M should retain legal counsel to represent them in that matter and file the response.
