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Simplifying the Work of Workers' Compensation



North Carolina Workers' Compensation Information

  • Home
  • States
  • Workers' Compensation Information


  • State Telephone Numbers
  • State Forms
  • State Rules & Statutes

Please Note: for Claims assistance or questions about coverage and exemptions You will need to call one of the numbers listed below.

Also be aware that the Workers' Compensation Assistance Offices in different states may go by different names such as "Industrial Accidents".
These are the only numbers that we are aware of and have available for North Carolina Workers' Compensation.


North Carolina Workers' Compensation Telephone Directory


North Carolina Industrial Commission: 919-807-2501

Vocational Rehabilitation: 800-689-9090

Workers' Compensation Information: 919-716-1700

Claims Administration - Phone & Email Address: 919-716-1700

Industrial Commission Workers' Compensation (Info) - Toll Free & Email Address: 800-688-8349

Fraud and Insurance Compliance Hotline: 888-891-4895

Clerk of the Industrial Commission: 919-807-2583

Trial Court Administrator: 919-807-2528

Request Audio Recording of Hearing - Phone & Email Address: 918-807-2504

Teleconference: 888-363-4735

Legal Assistant to Deputy Commissioner Mary Claire Brown & Hullender: 980-523-9987

Paralegal to Deputy Commissioner Theodore S. "Ted" Danchi: 919-807-2653

Legal Assistant to Deputy Commissioner Larry Hall : 919-807-2543

Paralegal to Deputy Commissioner Kevin V. Howell: 919-807-2653

Legal Assistant to Deputy Commissioner Larry Hall & Ashley M. Moore : 919-807-2543

Legal Assistant for Contempt Matters: 919-807-2518

Paralegal to Deputy Commissioner William W. "Bill" Peaslee: 919-807-2653

Legal Assistant to Deputy Commissioner Thomas H. Perlungher : 910-862-6011

Legal Assistant to Deputy Commissioner Layla T. Santa Rosa : 336-293-9242

Legal Assistant to Deputy Commissioner Tiffany Mack Smith: 980-523-9988

Legal Assistant to Deputy Commissioner David Mark Hullender: 980-523-9987

Legal Assistant to Deputy Commissioner Erin F. Taylor: 980-523-9988

Legal Assistant to Deputy Commissioner Jesse M. Jay Tillman: 980-523-9988

Legal Assistant to Deputy Commissioner Celeste Harris & Tyler Younts: 336-293-9242

Assistant Clerk of the Industrial Commission : 919-807-2608

Trial Court Administrator: 919-807-2528

Compliance Director: 919-716-1735

Compliance - Assistant Director: 919-716-1738

Compliance Officer: 919-716-1703

Compliance Officer: 919-716-1702

Compliance Officer : 919-716-1708

Compliance Officer: 919-716-1704

Compliance Assistant/Safety Education Section: 919-716-1707

Compliance Paralegal - (M-R): 919-716-1732

Compliance Paralegal - (G-L): 919-716-1730

Compliance Paralegal/Accounting Clerk (A-F): 919-716-1729

Compliance Paralegal - (S-Z Symbols or Numbers): 919-716-1729

Department of Justice: 919-716-6831

Executive Secretary to Special Deputy Commission: 919-807-2575

Trial Court Administrator to Full Commission Chair - Phillip A. Badour III: 919-807-2514

Executive Assistant to Full Commission Chair Phillip A. Baddour, III: 919-807-2647

Full Commission Chief Operating Officer: 919-807-2688

Industrial Commission Administrative Officer (vacant at present): 919-807-2648

Mediation Section - Administrative Assistant: 919-807-2620

Compromise Settlement Agreements (Clinchers): 919-807-2578

Industrial Commission Workers Compensation: 919-807-2501

Chief Deputy Commissioner Tammy R. Nance: 919-807-2542

Department of Insurance Commissioner Mike Causey: 855-408-1212

Insurance (State) Fraud - Toll Free: 888-680-7684

IT Section Support/Repairs: 919-754-6000

IT Section Support/Repairs - Toll Free: 800-722-3946

Webmaster : 919-807-2630

Chief Legal Assistant to Chief Deputy Commissioner Nance & Commissioner Harris: 919-807-2529

Special Deputy Commissioner Melissa Botiglione: 919-807-2546

Special Deputy Commissioner Marshall L. Wright: 919-807-2501

Legal Assistant to Deputy Commissioner Brown: 980-523-9987

Legal Assistant to Deputy Commissioner Lori A. Gaines & Thomas H. Perlunger: 910-862-6011

Paralegal to Deputy Commissioner Wes Saunders: 919-807-2653

Full Commission General Counsel Michelle Denning: 919-807-2654

Full Commission Rulemaking Coordinator: 919-807-2654

Full Commission Executive Assistant: 919-807-2647

Industrial Commission Medical Rehabilitation Nurses Section Referral Form Request: 919-807-2616

IC Mandatory Course (For Rehabilitation Professional) class availability & registration: 919-807-2616

IC Criminal Investigations & Employee Classification Division Chief Samuel Constance: 919-716-1736

Special Deputy Commissioner Lucy Austin: 919-807-2584

Special Deputy Commissioner Kimberly Fennell: 919-807-2561

Special Deputy Commissioner Alexandra Hagerty: 919-809-2670

Special Deputy Commissioner Michael Kelly: 919-807-2670

Special Deputy Commissioner Tony Lucas: 919-807-2612

Special Deputy Commissioner Jessica Parker: 919-807-2554

Industrial Commission Support Staff Tiffany Davalos Forms 23 & 24 Applications: 919-807-2657

Industrial Commission Support Staff Kimberly Allmond General Questions: 919-807-2580

Industrial Commission Support Staff Kimberly Allmond - Procedures Pending Cases: 919-807-2580

Industrial Commission Support Staff Kimberly Allmond 3rd Party Distributions: 919-807-2580

Industrial Commission Support Staff Kimberly Allmond General & Medical Motions: 919-807-2580

Industrial Commission Support Staff Kimberly Allmond Motions to Withdraw/Substitute: 919-807-2580

IC Crim. Invest. & Emp. Classification Div. Investigative Spec. Catherine Ittermann: 919-716-1701

IC Crim. Invest./ Employee Classification Division Investigator Chase L. Foss: 828-234-8733

IC Director of Employee Classification Section (Vacant): 888-891-4895

IC Crim. Invest. & Emp. Classification Div. Admin. Spec. Regina Henry: 919-716-1737

IC Crim. Invest./ Employee Classification Division Investigator Gerald Stephens: 336-212-9669

IC Crim. Invest./ Employee Classification Division Investigator Stig Larson: 910-709-0053

IC Crim. Invest./ Employee Classification Division Investigator Lindsey A. Tote: 919-610-8263

Compliance Officer : 919-716-1705

Electronic Document Filing Portal (EDFP) Assistance: 919-807-2695

OSHA North Carolina State Plan - Jurisdiction over Private & Public Employees: 919-707-7806

Forms & Publications


Welcome to the most extensive library of workers' compensation forms available anywhere. Almost 3,600 forms are available for your immediate download and use. Our forms, all of which have been custom programmed by WorkersCompensation.com for Type & Save functionality, are available for individual purchase below.

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Some "Revision Dates" may be displayed as part of the Description.

As of Monday, September 18, 2017, the Industrial Commission will no longer accept certain documents from adjusters including, but not limited to, Form 24 Applications, Responses to Form 23 Applications, Responses to Form 28Us or Responses to 18Ms. Per the Commission's announcement, they will also not accept Motions filed by adjusters, including, but not limited to, Motions to Compel Compliance with Medical Treatment, Motions to Compel Compliance with Vocational Rehabilitation, Responses to Medical Motions or any other requests for relief. However, the Commission will continue to accept Form 26As, Form 60s and agreements regarding death benefits entered into by the adjuster.

Effective February 1, 2016, all documents filed with the Industrial Commission in workers compensation cases must be submitted electronically. Employees without legal representation are not required to file electronically. The Commission has updated all of its forms to facilitate e-filing.

(form19) Employer's Report of Employee's Injury or Occupational Disease to the Industrial Commission 1/20
(form29) Supplemental Report for Fatal Accidents 3/20
(form18) Notice of Accident to Employer and Claim of Employee, Representative, or Dependent 3/22
(forma18) Notice of Accident to Employer and Claim of Employee, Representative, or Dependent (Spanish) 3/22
(form18b) Claim by Employee, Representative, or Dependent for Lung Disease, Including Asbestosis, Silicosis, and Byssinosis 3/20
(form18m) Employee's Application for Additional Medical Compensation(Applicable to Injuries by Accident or Occupational Illness on or After July 5, 1994) 3/20
(form21) Agreement for Compensation for Disability 3/21
(form21s) Agreement for Compensation for Disability (Spanish) 3/07
(form22) Statement of Days Worked and Earnings of Injured Employee 3/20
(form23) Application to Reinstate Payment of Disability Compensation 3/20
(form24) Application to Terminate or Suspend Payment of Compensation 3/20
(form25c) Authorization for Rehabilitation Professional to Obtain Medical Records of Current Treatment 3/20
(form25cs) Authorization for Rehabilitation Professional to Obtain Medical Records of Current Treatment (Spanish) 3/20
(form25n) Notice to the Commission of Assignment of Rehabilitation Professional 3/20
(form25p) Itemized Statement of Charges for Drugs 3/20
(form25pr) Request for Preauthorization of Medical Treatment 1/15
(form25r) Evaluation for Permanent Impairment 5/17
(form25t) Itemized Statement of Charges for Travel 6/22
(form26) Supplemental Agreement as to Payment of Compensation 3/21
(form26a) Employers Admission of Employee's Right to Permanent Partial Disability 3/21
(forma26a) Employers Admission of Employees Right to Permanent Partial Disability-Spanish 3/21
(form26d) Agreement for Payment of Unpaid Compensation in Unrelated Death Cases 3/20
(form26i) Medical Provider Dispute Resolution Questionnaire N/D
(form28) Return to Work Report 3/20
(form28b) Report of Employer or Carrier / Administrator of Compensation and Medical Compensation Paid and Notice of Right to Additional Medical Compensation 3/20
(form28c) Report of Employer or Carrier / Administrator of Compensation and Medical Compensation Paid Pursuant to a Compromise Settlement Agreement 3/20
(form28t) Notice of Termination of Compensation by Reason of Trial Return to Work 3/20
(form28u) Employee's Request that Compensation be Reinstated After Unsuccessful Trial Return to Work 3/20
(form30) Agreement for Compensation for Death 12/20
(form30a) Notice of Award 3/20
(form30d) Award Approving Agreement for Compensation for Death 3/20
(form31) Application for Lump Sum Award 3/20
(form33) Request that Claim be Assigned for Hearing 3/21
(form33s) Request that Claim be Assigned for Hearing (Spanish) 10/17
(form33i) Intervenor's Request that Claim be Assigned for Hearing 3/21
(form33Ifeeform) Certification of Payment of Processing Fee for the Form 33I N/D
(form33r) Response to Request that Claim be Assigned for Hearing 3/18
(form36) Subpoena for Witness 6/18
(form42) Application for Appointment of Guardian Ad Litem 3/20
(form44) Application for Review 10/19
(form51) Annual Consolidated Fiscal Report of "Medical Only" or "Lost Time" Cases 2/17
Instructions for filling out Form 51 N/D
(form60) Employer's Admission of Employee's Right to Compensation 3/20
(form61) Denial of Workers' Compensation Claim 3/20
(form62) Notice of Reinstatement or Modification of Compensation 3/20
(form63) Notice to Employee of Payment of Compensation Without Prejudice or Payment of Medical Benefits Only Without Prejudice 3/20
(form87a) Affidavit of Accrued Arrearages 3/20
(form87c) Certificate of Accrued Arrearages or Certified Accounting of Award 3/20
(form87s) Statement of Accrued Arrearages 3/20
(form90) Report of Earnings 12/20
(frmec100) Erroneous Conviction - Claimant's Petition for Compensation 11/19
(msc1) Consent Order for Mediated Settlement Conference 3/22
(msc2) Petition for Order Referring Case to Mediated Settlement Conference 3/22
(msc3) Order for Mediated Settlement Conference 3/22
(msc4) Designation of Mediator 3/22
(msc5) Report of Mediator 3/22
(msc6) Mediator's Declaration of Interest and Qualifications 3/22
(msc7) Report of Evaluator 10/17
(msc8) Mediated Settlement Agreement 6/18
(msc9) Mediated Settlement Agreement - Alternative Form 6/18
(formt-1) Claim for Damages under Tort Claims Act 3/21
(formt-3) Release of Tort Claim 3/19
(formt-42) Application for Appointment of Guardian Ad Litem 3/21
(formt-44) Application for Review 3/19
(csachecklist) Health Benefit Plans and Medical Costs Internal Checklist for the Review of Compromise Settlement Agreements 5/14
(cert pay) Certification of Payment of Processing Fee for CompromiseSettlement Agreements N/D
(indigentappeal) Petition to Appeal as an Indigent Person N/D
(indigentsue) Petition to Sue as an Indigent Person N/D
(nurseref) Workers' Compensation Nurses Section Referral Form 2/16
(deathben) CLAIM FOR BENEFITS UNDER THE PUBLIC SAFETY EMPLOYEES’ DEATH BENEFITS ACT, G.S. § 143-166, ET SEQ. N/D
(wcmsques) Workers' Compensation Medical Status Questionnaire N/D
(EFT authorization) Manage AR EFT Payment Account Set-Up Form (added 4/11) N/D
  • North Carolina Rules
  • North Carolina Statutes

SubChapter A - Workers Compensation Rules (11 NCAC 23A .0101 - 11 NCAC 23A .1001)


  • 11 NCAC 23A .0101 Location Of Main Office And Hours Of Business

  • 11 NCAC 23A .0102 Official Forms

  • 11 NCAC 23A .0103 Notice Of Accident And Claim Of Injury Or Occupational Disease

  • 11 NCAC 23A .0104 Employer's Requirement to file First Report of Injury

  • 11 NCAC 23A .0105 Electronic Payment Of Costs

  • 11 NCAC 23A .0106 Filing Of Annual Report Requirement

  • 11 NCAC 23A .0107 Computation Of Time And Notice By The Commission

  • 11 NCAC 23A .0108 Electronic Filings with the Commission; How to file

  • 11 NCAC 23A .0109 Contact Information

  • 11 NCAC 23A .0201 Posting Requirement For Employers

  • 11 NCAC 23A .0301 Proof Of Insurance Coverage

  • 11 NCAC 23A .0302 Required Contact Information From Carriers

  • 11 NCAC 23A .0401 Calculating The Seven-Day Waiting Period

  • 11 NCAC 23A .0402 Submission Of Earnings Statement Required

  • 11 NCAC 23A .0403 Manner Of Payment Of Compensation

  • 11 NCAC 23A .0404 Termination And Suspension Of Compensation

  • 11 NCAC 23A .0404A Trial Return To Work

  • 11 NCAC 23A .0405 Reinstatement Of Compensation

  • 11 NCAC 23A .0406 Discount Rate To Be Used In Determining Commuted Values

  • 11 NCAC 23A .0407 Repealed - Fees For Medical Compensation

  • 11 NCAC 23A .0408 Application For Or Stipulation To Additional Medical Compensation

  • 11 NCAC 23A .0409 Claims For Death Benefits

  • 11 NCAC 23A .0410 Communication For Medical Information

  • 11 NCAC 23A .0411 Safety Rules

  • 11 NCAC 23A .0501 Agreements For Prompt Payment Of Compensation

  • 11 NCAC 23A .0502 Compromise Settlement Agreements

  • 11 NCAC 23A .0503 Notice Of Last Payment Filing Requirement

  • 11 NCAC 23A .0601 Employer'S Obligations Upon Notice; Denial Of Liability; And Sanctions

  • 11 NCAC 23A .0602 Request For Hearing

  • 11 NCAC 23A .0603 Responding To A Party'S Request For Hearing

  • 11 NCAC 23A .0604 Appointment of Guardian Ad Litem

  • 11 NCAC 23A .0605 Discovery

  • 11 NCAC 23A .0606 Discovery - Post Hearing

  • 11 NCAC 23A .0607 Discovery Of Records And Reports

  • 11 NCAC 23A .0608 Statement Of Incident Leading To Claim

  • 11 NCAC 23A .0609 Motions Practice

  • 11 NCAC 23A .0609A Medical Motions And Emergency Medical Motions

  • 11 NCAC 23A .0610 Pre-Trial Agreement

  • 11 NCAC 23A .0611 Hearings Before The Commission

  • 11 NCAC 23A .0612 Depositions

  • 11 NCAC 23A .0613 Expert Witnesses And Fees

  • 11 NCAC 23A .0614 Health Care Provider Fee Dispute Procedure

  • 11 NCAC 23A .0615 Cases Removed From A Hearing Calendar

  • 11 NCAC 23A .0616 Dismissals

  • 11 NCAC 23A .0617 Attorneys Retained For Proceedings

  • 11 NCAC 23A .0618 Disqualification Of A Commissioner Or Deputy Commissioner

  • 11 NCAC 23A .0619 Foreign Language and Sign Language Interpreters

  • 11 NCAC 23A .0620 Written Communications with the Commission

  • 11 NCAC 23A .0701 Review By The Full Commission

  • 11 NCAC 23A .0702 Review Of Administrative Decisions

  • 11 NCAC 23A .0702A Repealed - Remand From The Appellate Courts

  • 11 NCAC 23A .0703 Appeal To The Court Of Appeals

  • 11 NCAC 23A .0704 Remand From The Appellate Courts

  • 11 NCAC 23A .0801 Waiver Of Rules

  • 11 NCAC 23A .0802 Repealed - Sanctions

  • 11 NCAC 23A .0803 Repealed - Rulemaking

  • 11 NCAC 23A .0901 Check Endorsement

  • 11 NCAC 23A .0902 Notice

  • 11 NCAC 23A .0903 Employee's Obligation To Report Earnings

  • 11 NCAC 23A .1001 Preauthorization For Surgery And Inpatient Treatment
  • SubChapter B - Tort Claims Rules (11 NCAC 23B .0101 - 11 NCAC 23B .0503)


  • 11 NCAC 23B .0101 Location of Main Office and Hours of Business

  • 11 NCAC 23B .0102 Official Forms

  • 11 NCAC 23B .0103 Filing Fees

  • 11 NCAC 23B .0104 Electronic Filings with the Commission; How to file

  • 11 NCAC 23B .0105 Contact Information

  • 11 NCAC 23B .0106 Notice by the Commission

  • 11 NCAC 23B .0201 Repealed - Rules Of Civil Procedure

  • 11 NCAC 23B .0202 Medical Malpractice Claims By Unrepresented Prison Inmates

  • 11 NCAC 23B .0203 Infants And Incompetents

  • 11 NCAC 23B .0204 Motions

  • 11 NCAC 23B .0205 Mediation

  • 11 NCAC 23B .0206 Hearings

  • 11 NCAC 23B .0207 Hearings Of Claims By Prison Inmates

  • 11 NCAC 23B .0208 Hearing Costs

  • 11 NCAC 23B .0301 Scope

  • 11 NCAC 23B .0302 Appeals to the Full Commission

  • 11 NCAC 23B .0303 Repealed Proposed Issues On Appeal

  • 11 NCAC 23B .0304 Repealed Dismissals Of Appeals

  • 11 NCAC 23B .0305 Repealed Briefs To The Full Commission

  • 11 NCAC 23B .0306 Repealed Motion For New Hearing

  • 11 NCAC 23B .0307 Motions Before The Full Commission

  • 11 NCAC 23B .0308 Stays

  • 11 NCAC 23B .0309 Repealed - New Evidence

  • 11 NCAC 23B .0310 Oral Argument

  • 11 NCAC 23B .0401 Scope

  • 11 NCAC 23B .0402 Stays

  • 11 NCAC 23B .0403 Motions For Court Of Appeals Cases

  • 11 NCAC 23B .0404 Remand From Appellate Courts

  • 11 NCAC 23B .0501 Waiver Of Rules

  • 11 NCAC 23B .0502 Repealed - Rulemaking

  • 11 NCAC 23B .0503 Sanctions
  • SubChapter C- North Carolina Industrial Commission Rules for Utilization of Rehabilitation Professionals in Workers' Compensation Claims (11 NCAC 23C .0101 - 11 NCAC 23C .0201)


  • 11 NCAC 23C .0101 Applicabilty Of The Rules

  • 11 NCAC 23C .0102 Repealed - Purpose Of The Rules

  • 11 NCAC 23C .0103 Definitions

  • 11 NCAC 23C .0104 Repealed - Goals Of Rehabilitation

  • 11 NCAC 23C .0105 Qualifications Required

  • 11 NCAC 23C .0106 Professional Responsibility Of The Rehabilitation Professional In Workers' Compensation Claims

  • 11 NCAC 23C .0107 Communication

  • 11 NCAC 23C .0108 Interaction With Physicians

  • 11 NCAC 23C .0109 Vocational Rehabilitation Services And Return To Work

  • 11 NCAC 23C .0110 Change Of Rehabilitation Professional

  • 11 NCAC 23C .0201 Waiver Of Rules
  • SubChapter D - Workers' Compensation Rules for Managed Care Organization (11 NCAC 23D .0101 - 11 NCAC 23D .0110)


  • 11 NCAC 23D .0101 Purpose

  • 11 NCAC 23D .0102 Definitions

  • 11 NCAC 23D .0103 Repealed - Qualification By Department Of Insurance

  • 11 NCAC 23D .0104 Qualification And Revocation

  • 11 NCAC 23D .0105 Notice To Commission

  • 11 NCAC 23D .0106 Contract Provisions

  • 11 NCAC 23D .0107 Information For Employee

  • 11 NCAC 23D .0108 Inclusive Provider Panels

  • 11 NCAC 23D .0109 Quality Assurance And Utilization Review

  • 11 NCAC 23D .0110 Waiver Of Rules
  • SubChapter E - Administrative Rules of the Industrial Commission (11 NCAC 23E .0101 - 11 NCAC 23E .0302)


  • 11 NCAC 23E .0101 Instructions For Filing A Petition For Rule-Making

  • 11 NCAC 23E .0102 Mailing List

  • 11 NCAC 23E .0103 Admission Of Out-Of State Attorneys To Appear Before The Commission

  • 11 NCAC 23E .0104 Secure Leave Periods For Attorneys

  • 11 NCAC 23E .0201 Document And Record Fees

  • 11 NCAC 23E .0202 Hearing Costs Or Fees

  • 11 NCAC 23E .0203 Fees Set By The Commission

  • 11 NCAC 23E .0204 Accident Prevention And Safety Educational Program Fees

  • 11 NCAC 23E .0301 Waiver Of Rules

  • 11 NCAC 23E .0302 EMERGENCY ORDERS AND DIRECTIVES OF THE CHIEF JUSTICE OF THE NORTH CAROLINA SUPREME COURT
  • SubChapter F Electronic Billing Rules (11 NCAC 23F .0101 - 11 NCAC 23F .01018)


  • 11 NCAC 23F .0101 Electronic Medical Billing And Payment Requirement

  • 11 NCAC 23F .0102 Definitions

  • 11 NCAC 23F .0103 Formats For Electronic Medical Bill Processing

  • 11 NCAC 23F .0104 Billing Code Sets

  • 11 NCAC 23F .0105 Electronic Medical Billing, Reimbursement, And Documentation

  • 11 NCAC 23F .0106 Employer, Insurance Carrier, Managed Care Organization, Or Agents' Receipt Of Medical Bills From Health Care

  • 11 NCAC 23F .0107 Communication Between Health Care Providers And Payers

  • 11 NCAC 23F .0108 Effective Date
  • SubChapter G - North Carolina Industrial Commission Rules for Mediated Settlement and Neutral Evaluation Conferences (11 NCAC 23G.0101 - 11 NCAC 23G .0112


  • 11 NCAC 23G .0101 Order For Mediated Settlement Conference

  • 11 NCAC 23G .0102 Selection Of Mediator

  • 11 NCAC 23G .0103 The Mediated Settlement Conference

  • 11 NCAC 23G .0104 Duties Of Parties, Representatives, And Attorneys

  • 11 NCAC 23G .0104A Foreign Language Interpreters

  • 11 NCAC 23G .0105 Sanctions (Effective July 1, 2014)

  • 11 NCAC 23G .0106 Authority And Duties Of Mediators

  • 11 NCAC 23G .0107 Compensation Of The Mediator

  • 11 NCAC 23G .0108 Mediator Certification And Decertification

  • 11 NCAC 23G .0109 Neutral Evaluation

  • 11 NCAC 23G .0110 Waiver Of Rules

  • 11 NCAC 23G .0111 Motions

  • 11 NCAC 23G .0112 Miscellaneous
  • SubChapter H Rules of the Industrial Commission Relating to thePublic Safety Employees' Death Benefits Act (11NCAC 23H.0101 - 11NCAC 23H.0206)


  • 11 NCAC 23H .0101 Location Of Offices And Hours Of Business

  • 11 NCAC 23H .0201 Determination Of Claims By The Commission

  • 11 NCAC 23H .0202 Hearings Before The Commission

  • 11 NCAC 23H .0203 Appointment Of Guardian Ad Litem

  • 11 NCAC 23H .0204 Written Or Recorded Statement

  • 11 NCAC 23H .0205 Review By The Full Commission

  • 11 NCAC 23H .0206 Waiver Of Rules
  • SubChapter I - Childhood Vaccine-Related Injury Rules of the North Carolina Industrial Commission ( 11 NCAC 23I .0101 - 11 NCAC 23I .0204)


  • 11 NCAC 23I .0101 Locations Of Offices And Hours Of Business

  • 11 NCAC 23I .0102 Official Forms

  • 11 NCAC 23I .0201 Procedure

  • 11 NCAC 23I .0202 Attorneys' Fees

  • 11 NCAC 23I .0203 Waiver Of Rules

  • 11 NCAC 23I .0204 Sanctions
  • SubChapter J - Fees for Medical Compensation (11 NCAC 23J.0101 - 11 NCAC 23J.0103)


  • 11 NCAC 23J .0101 General Provisions

  • 11 NCAC 23J .0102 Fees For Professional Services

  • 11 NCAC 23J .0103 Fees For Institutional Services
  • SubChapter K - Rules for the Eugenics Asexualization and Sterilization Compensation Program (11 NCAC 23K .0101 - 11 NCAC 23K .0501)


  • 11 NCAC 23K .0101-0103 Location Of Offices And Hours Of Business Expired

  • 11 NCAC 23K .0201-0203 Initial Determination Of Claims By The Commission Expired

  • 11 NCAC 23K .0301-0302 Appeals To The Full Commission Expired

  • 11 NCAC 23K .0401-0403 Stays Expired

  • 11 NCAC 23K .0501 Expired Waiver Of Rules
  • SubChapter L - Industrial Commission Forms (11 NCAC 23L .0101 -11 NCAC 23L .0104)


  • 11 NCAC 23L .0101 Form 21 - Agreement For Compensation For Disability

  • 11 NCAC 23L .0102 Form 26 - Supplemental Agreement As To Payment Of Compensation

  • 11 NCAC 23L .0103 Form 26A - Employer's Admission of Employee's Right to Permanent Partial Disability (Effective December 1, 2020

  • 11 NCAC 23L .0103 FORM 26A - Employer's Admission of Employee's right to Permanent Partial Disability (Effective March 1, 2021)

  • 11 NCAC 23L .0104 Form 36 - Subpoena

  • 11 NCAC 23L .0105 FORM T-42 - Application for Appointment of Guardian Ad Litem
  • SubChapter M - Rules for the Utilization of Opioids, Related Prescriptions, and Pain Management in Workers' Compensation Claims (11-NCAC 23M.0101 - 11 NCAC 23M.0501)

    Section .0100 -General Provisions (04 NCAC 10M.0101 - 04 NCAC 10M.1013)


  • 11 NCAC 23M .0101 PURPOSE AND APPLICABILITY OF THE RULES

  • 11 NCAC 23M .0102 Definitions

  • 11 NCAC 23M .0103 WAIVER OF RULES
  • Section .0200 - Utilization Rules for Opioid and Other Pharmacological Pain Management Treatment 04 NCAC 10M .0201 - 04 NCAC 10M .203)


  • 11 NCAC 23M .0201 First Prescription Of Medication For Pain In An Acute Phase

  • 11 NCAC 23M .0202 Prescription Of Medication For Pain In An Acute Phase Following The First Prescription

  • 11 NCAC 23M .0203 Prescription Of Medication For Pain In A Chronic Phase
  • Section .0300 - Utilizatiuon Rules for Opioid Antagonist (04 NCAC 10M .0301)


  • 11 NCAC 23M .0301 Co-Prescription Of Opioid Antagonist
  • Section .0400 - Utilization Rules for Non-Pharmacological Treatment for Pain (04 NCAC10M.0401)


  • 11 NCAC 23M .0401 Non-Pharmacological Treatment For Pain
  • Section .0500 Utilization Riles for Treatment for Substance use Disorder ( 04 NCAC 10M.0501)


  • 11 NCAC 23M .0501 Treatment For Substance Use Disorder Involving A Targeted Controlled Substance
  • Chapter 97 Workers' Compensation Act


  • 97-1. Short title.

  • 97-1.1. References to workmen's compensation.

  • 97-2. Definitions.

  • 97-3. Presumption that all employers and employees have come under provisions of Article.

  • 97-4. [Repealed.]

  • 97-5. Presumption as to contract of service.

  • 97-5.1. Presumption that taxicab drivers are independent contractors.

  • 97-6. No special contract can relieve an employer of obligations.

  • 97-6.1: Repealed by 1991 (Regular Session, 1992), c. 1021, s. 4.

  • 97-7. State or subdivision and employees thereof.

  • 97-8. Prior injuries and deaths unaffected.

  • 97-9. Employer to secure payment of compensation.

  • 97-10. [Repealed.]

  • 97-10.1. Other rights and remedies against employer excluded.

  • 97-10.2. Rights under Article not affected by liability of third party; rights and remedies against third parties.

  • 97-10.3. Minors illegally employed.

  • 97-11. Employer not relieved of statutory duty.

  • 97-12. Use of intoxicant or controlled substance; willful neglect; willful disobedience of statutory duty, safety regulation or rule.

  • 97-12.1. Willful misrepresentation in applying for employment.

  • 97-13. Exceptions from provisions of Article.

  • 97-14 [Repealed.]

  • 97-15 [Repealed.]

  • 97-16 [Repealed.]

  • 97-17. Settlements allowed in accordance with Article.

  • 97-18. Prompt payment of compensation required; installments; payment without prejudice; notice to Commission; penalties.

  • 97-18.1. Termination or suspension of compensation benefits.

  • 97-19. Liability of principal contractors; certificate that subcontractor has complied with law; right to recover compensation of those who would have been liable; order of liability.

  • 97-19.1. Truck, tractor, or truck tractor trailer driver's status as employee or independent contractor.

  • 97-20. Priority of compensation claims against assets of employer.

  • 97-21. Claims unassignable and exempt from taxes and debts; agreement of employee to contribute to premium or waive right to compensation void; unlawful deduction by employer.

  • 97-22. Notice of accident to employer.

  • 97-23. What notice is to contain; defects no bar; notice personally or by registered letter or certified mail.

  • 97-24. Right to compensation barred after two years; destruction of records.

  • 97-25. Medical treatment and supplies.

  • 97-25.1. Limitation of duration of medical compensation.

  • 97-25.2. Managed care organizations.

  • 97-25.3. Preauthorization.

  • 97-25.4. Utilization guidelines for medical treatment.

  • 97-25.5. Utilization guidelines for vocational and other rehabilitation.

  • 97-25.6. Reasonable access to medical information.

  • 97-26. Fees allowed for medical treatment; malpractice of physician.

  • 97-26.1. Fees for medical records and reports; expert witnesses; communications with health care providers.

  • 97-26.2. Reimbursement for prescription drugs, prescribed over-the-counter drugs, and professional pharmaceutical services.

  • 97-27. Medical examination; facts not privileged; refusal to be examined suspends compensation; autopsy.

  • 97-28. Seven-day waiting period; exceptions.

  • 97-29. Rates and duration of compensation for total incapacity.

  • 97-29.1. Increase in payments in cases for total and permanent disability occurring prior to July 1, 1973.

  • 97-30. Partial incapacity.

  • 97-31. Schedule of injuries; rate and period of compensation.

  • 97-31.1. [Note: Effective January 1, 1997, contingent on approval of constitutional amendments.] Effective date of legislative changes in benefits.

  • 97-32. Refusal of injured employee to accept suitable employment as suspending compensation.

  • 97-32.1. Trial return to work.

  • 97-32.2. Vocational Rehabilitation.

  • 97-33. Prorating in event of earlier disability or injury.

  • 97-34. Employee receiving an injury when being compensated for former injury.

  • 97-35. How compensation paid for two injuries; employer liable only for subsequent injury.

  • 97-36. Accidents taking place outside State; employees receiving compensation from another state.

  • 97-37. Where injured employee dies before total compensation is paid.

  • 97-38. Where death results proximately from compensable injury or occupational disease; dependents; burial expenses; compensation to aliens; election by partial dependents.

  • 97-39. Widow, widower, or child to be conclusively presumed to be dependent; other cases determined upon facts; division of death benefits among those wholly dependent; when division among partially dependent.

  • 97-40. Commutation and payment of compensation in absence of dependents; "next of kin" defined; commutation and distribution of compensation to partially dependent next of kin; payment in absence of both dependents and next of kin.

  • 97-40.1. Second Injury Fund.

  • 97-41. [Repealed.]

  • 97-42. Deduction of payments.

  • 97-42.1. Credit for unemployment benefits.

  • 97-43. Commission may prescribe monthly or quarterly payments.

  • 97-44. Lump sums.

  • 97-45. Reducing to judgment outstanding liability of insurance carriers withdrawing from State.

  • 97-46. Lump sum payments to trustee; receipt to discharge employer.

  • 97-47. Change of condition; modification of award.

  • 97-47.1. Payment without prejudice; limitations period.

  • 97-48. Receipts relieving employer; payment to minors; when payment of claims to dependents subsequent in right discharges employer.

  • 97-49. Benefits of mentally incompetent or minor employees under 18 may be paid to a trustee, etc.

  • 97-50. Limitation as against minors or mentally incompetent.

  • 97-51. Joint employment; liabilities.

  • 97-52. Occupational disease made compensable; "accident" defined.

  • 97-53. Occupational diseases enumerated; when due to exposure to chemicals.

  • 97-54. "Disablement" defined.

  • 97-55. "Disability" defined.

  • 97-56. Limitation on compensable diseases.

  • 97-57. Employer liable.

  • 97-58. Time limit for filing claims.

  • 97-59. Employer to pay for treatment.

  • 97-60. [Repealed.]

  • 97-61: Rewritten as 97-61.1 through 97-61.7

  • 97-61.1. First examination of and report on employee having asbestosis or silicosis.

  • 97-61.2. Filing of first report; right of hearing; effect of report as testimony.

  • 97-61.3. Second examination and report.

  • 97-61.4. Third examination and report.

  • 97-61.5. Hearing after first examination and report; removal of employee from hazardous occupation; compensation upon removal from hazardous occupation.

  • 97-61.6. Hearing after third examination and report; compensation for disability and death from asbestosis or silicosis.

  • 97-61.7. Waiver of right to compensation as alternative to forced change of occupation.

  • 97-62. "Silicosis" and "asbestosis" defined.

  • 97-63. Period necessary for employee to be exposed.

  • 97-64. General provisions of act to control as regards benefits.

  • 97-65. Reduction of rate where tuberculosis develops.

  • 97-66. Claim where benefits are discontinued.

  • 97-67. Postmortem examinations; notice to next of kin and insurance carrier.

  • 97-68. Controverted medical questions.

  • 97-69. Examination by advisory medical committee; inspection of medical reports.

  • 97-70. Report of committee to Industrial Commission.

  • 97-71. Filing report; right of hearing on report.

  • 97-72. Appointment of advisory medical committee; terms of office; duties and functions; salaries and expenses.

  • 97-73. Fees.

  • 97-74. Expense of hearings taxed as costs in compensation cases; fees collected directed to general fund.

  • 97-75. [Repealed.]

  • 97-76. [Repealed.]

  • 97-77. North Carolina Industrial Commission created; members appointed by Governor; terms of office; chairman.

  • 97-77.1. [Note: Expires July 1, 1997.] Advisory council.

  • 97-78. Salaries and expenses; administrator, executive secretary, deputy commissioners, and other staff assistance; annual report.

  • 97-78.1. Standards of judicial conduct to apply to commissioners and deputy commissioners.

  • 97-79. Offices and supplies; deputies with power to subpoena witnesses and to take testimony; meetings; hearings.

  • 97-80. Rules and regulations; subpoena of witnesses; examination of books and records; depositions; costs.

  • 97-81. Blank forms and literature; statistics; safety provisions; accident reports; studies and investigations and recommendations to General Assembly; to cooperate with other agencies for prevention of injury.

  • 97-82. Memorandum of agreement between employer and employee to be submitted to Commission on prescribed forms for approval; direct payment as award.

  • 97-83. Commission is to make award after hearing.

  • 97-83.1. Facilities for hearings; security.

  • 97-84. Determination of disputes by Commission or deputy.

  • 97-85. Review of award.

  • 97-86. Award conclusive as to facts; appeal; certified questions of law.

  • 97-86.1. Payment of award pending appeal in certain cases.

  • 97-86.2. Interest on awards after hearing.

  • 97-87. Judgments on awards.

  • 97-88. Expenses of appeals brought by insurers.

  • 97-88.1. Attorney's fees at original hearing.

  • 97-88.2. Penalty for fraud.

  • 97-88.3. Penalty for health care providers.

  • 97-89. Commission may appoint qualified physician to make necessary examinations; expenses; fees.

  • 97-90. Legal and medical fees to be approved by Commission; misdemeanor to receive fees unapproved by Commission, or to solicit employment in adjusting claims; agreement for fee or compensation.

  • 97-90.1. Insurers that provide employee's health benefit plans, disability income plans, or any other health insurance plans.

  • 97-91. Commission to determine all questions.

  • 97-92. Employer's record and report of accidents; records of Commission not open to public; supplementary report upon termination of disability; penalty for refusal to make report; when insurance carrier liable.

  • 97-93. Employers required to carry insurance or prove financial ability to pay for benefits; employers required to post notice; self-insured employers regulated by Commissioner of Insurance.

  • 97-94. Employers required to give proof that they have complied with preceding section; penalty for not keeping liability insured; review; liability for compensation; criminal penalties for failure to secure payment of compensation.

  • 97-95. Actions against employers failing to effect insurance or qualify as self-insurer.

  • 97-96. [Repealed.]

  • 97-97. Insurance policies must contain clause that notice to employer is notice to insurer, etc.

  • 97-98. Policy must contain agreement promptly to pay benefits; continuance of obligation of insurer in event of default.

  • 97-99. Law written into each insurance policy; form of policy to be approved by Commissioner of Insurance; single catastrophe hazards.

  • 97-100. Rates for insurance; carrier to make reports for determination of solvency; tax upon premium; wrongful or fraudulent representation of carrier punishable as misdemeanor; notices.

  • 97-101. Collection of fines and penalties.

  • 97-102 through 97-104.6. [Repealed.]

  • 97-105 through 97-122. [Repealed.]

  • 97-123 through 97-129. [Reserved.]

  • 97-130. Definitions.

  • 97-131. Creation.

  • 97-132. Board of directors.

  • 97-133. Powers and duties of the Association.

  • 97-134. Plan of Operation.

  • 97-135. Insolvency.

  • 97-136. Powers and duties of the Commissioner.

  • 97-137. Examination of the Association.

  • 97-138. Tax exemption.

  • 97-139. Immunity.

  • 97-140. Nonduplication of recovery.

  • 97-141. Stay of proceedings.

  • 97-142. Disposition of assets upon dissolution.

  • 97-143. Use of deposits made by insolvent member self-insurers.

  • 97-165. Definitions.

  • 97-170. License applications; required information.

  • 97-175. License.

  • 97-177. License covering applicant and any subsidiary or applicant relying on a guarantor; procedure; requirements.

  • 97-180. Reporting and records.

  • 97-185. Deposits; surety bonds; letters of credit.

  • 97-190. Excess insurance.

  • 97-195. Revocation, suspension or restriction of license.

  • 97-196. Civil penalties or restitution for violations; administrative procedure.

  • 97-200. Claims administration.
  • Misc. Related Statutes


  • 58-3-185 Lien created for payment of past-due child support obligations

  • 90-94.1. Exemption for use or possession of hemp extract




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