What Is A Form 63 in Workers’ Compensation?

North Carolina Industrial Commission Form 63 is the Notice to Employee of Payment of Compensation Without Prejudice or Payment of Medical Benefits Only Without Prejudice.

This form is submitted to the NCIC when an employer provides payments and/or medical benefits to an employee.  By filing this form, the receipt of payment or medical benefits from the employer does not necessarily end the investigative process or mean that the employer accepts liability. The benefits can be provided while an investigation is still ongoing. By submitting this form, an employer is not automatically accepting guilt or liability by providing benefits to the employee.

What Is A Form 62 in North Carolina Workers’ Compensation?

North Carolina Industrial Commission (NCIC) Form 62 is the Notice of Reinstatement or Modification of Compensation. If under any circumstances the payment of total or partial disability benefits have been suspended this form must be completed and submitted to the NCIC. A copy must also be provided to the employee and his or her attorney … Read more

What Is A Form 25N In A North Carolina Workers' Comp Case?

Form 25N is a form used by the North Carolina Industrial Commission regarding the assignment of a Rehabilitation Professional.  This is usually a registered nurse, who must be qualified according to North Carolina Industrial Commission Rehabilitation Rules.  Once the Rehabilitation Professional has been assigned pursuant to Rule 25N, the Rehabilitation Professional becomes a type of … Read more

What Is A Form 30 In A North Carolina Workers Compensation Case?

Form 30 is an Agreement for Compensation for Death. This form is used when an employee passes away because of an accident at work and his or her dependents or next of kin are petitioning for compensation for the deceased. Each dependent or next of kin, the plaintiff’s attorney, employer and insurance carrier or administrator … Read more

What is Form 25C Under North Carolina Worker’s Compensation Law?

[av_section min_height=” min_height_px=’500px’ padding=’default’ shadow=’no-shadow’ bottom_border=’no-border-styling’ id=” color=’main_color’ custom_bg=’#d7d8ca’ src=” attachment=” attachment_size=” attach=’scroll’ position=’top left’ repeat=’no-repeat’ video=” video_ratio=’16:9′ overlay_opacity=’0.5′ overlay_color=” overlay_pattern=” overlay_custom_pattern=”] [av_heading heading=’What is Form 25C Under North Carolina Worker’s Compensation Law?’ tag=’h1′ style=” size=” subheading_active=” subheading_size=’15’ padding=’10’ color=” custom_font=”][/av_heading] [/av_section][av_textblock size=” font_color=” color=”] Form 25C is a form under North Carolina workers compensation … Read more

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.

Welcome Back Melissa Duncan!

As many of you know, we are a family run law firm. Over the past 12 weeks we have missed Melissa Duncan as she stayed home with her and Damon’s first child, Brooks. Although we know it’s going to be tough to be away from Brooks, we are excited to have you back in the … Read more

What is Form 18B in a North Carolina Workers Compensation Case?

Form 18B is titled Claim by Employee, Representative or Dependent for Benefits for Lung Disease. This form is to be filled if an employee has been diagnosed with lung disease that was caused by employment and wants benefits for it.  In this case, lung disease includes asbestosis, silicosis and byssinosis. They must include the date … Read more

What is Form 26I In A Worker’s Compensation Case in North Carolina?

[av_section min_height=” min_height_px=’500px’ padding=’default’ shadow=’no-shadow’ bottom_border=’no-border-styling’ id=” color=’main_color’ custom_bg=’#d7d8ca’ src=” attachment=” attachment_size=” attach=’scroll’ position=’top left’ repeat=’no-repeat’ video=” video_ratio=’16:9′ overlay_opacity=’0.5′ overlay_color=” overlay_pattern=” overlay_custom_pattern=”] [av_heading heading=’What Is A Form 26I In A Workers’ Compensation Case in North Carolina?’ tag=’h1′ style=” size=” subheading_active=” subheading_size=’15’ padding=’10’ color=” custom_font=”][/av_heading] [/av_section] [av_textblock size=” font_color=” color=”] Form 26I is titled Medical Provider … Read more