Third-Party Distribution Order Requests

Requests for an Order distributing a third-party settlement pursuant N.C. Gen Stat. § 97-10.2 shall be filed electronically pursuant to the Industrial Commission's electronic filing rule, Rule 11 NCAC 23A .0108.

The following documents should be included with every request for an Order distributing a third-party settlement:

• Document reflecting the third-party settlement amount
• Document from the workers' compensation carrier stating the amount the carrier is accepting in satisfaction of the lien
• Attorney fee contract of the plaintiff's attorney in the third-party case
• Itemized list of actual court costs and/or litigation expenses paid by the plaintiff's attorney in the third-party case
• Proposed Order