What is a Form 61 in North Carolina Workers’ Compensation?

North Carolina Workers' Compensation Questions

North Carolina Industrial Commission Form 61 is the Denial of Workers’ Compensation Claim. If the employer finds reason to deny the employee’s workers’ compensation claim, this form must be submitted to the North Carolina Industrial Commission (NCIC) as well as providing copies to the employee, the employee’s attorney (if applicable) and any healthcare providers that have submitted medical bills to the employer.

The employer must be very specific in providing the reason for their denial of the claim. If certain reasons are omitted from the form and the denial is then challenged, those reasons for denial that were not reported may be excluded from the challenge hearing. If an employee receives a Form 61 from their employer and wishes to challenge the decision to deny their claim, they may do so by submitting a Form 33.