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What is a Form 25T in North Carolina Workers’ Compensation?

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What is a Form 25T in North Carolina Workers’ Compensation?

Welcome to North CarolinaWhen you are involved in an accident that occurs on the job, there are a number of necessary workers’ compensation forms that need to be completed and then submitted to the appropriate office. One of these forms is called a Form 25T.

This form is needed to obtain reimbursement for mileage incurred from traveling to appointments related to the on-the-job injury. In order to be eligible for mileage reimbursement, the round trip to the doctor or therapist appointments must be more than 20 miles.

Annually, the IRS sets a standard mileage rate. The North Carolina Industrial Commission sets the amount of money paid for mileage reimbursement based off this rate. For example, in 2014 the rate was 56 cents per mile.

It is important to document all of your travel that is related to the injury. You should note where you are going, the date of the appointment, how long it took to travel to the appointment, how long it took to travel home from the appointment and the total number of miles you traveled. This information should then be conveyed to your workers’ compensation attorney so they can properly submit the information to the workers’ compensation insurance adjuster.

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