Nc Form Commission Details

Commission Form 18 is the form that you need to fill out when you are in the process of buying a new home. This form provides important information about your financial situation and will help sellers determine whether or not they want to sell their property to you. Here's what you should know about this document before filling it out: -Do I really need Commission Form 18? Yes, this form is required for all real estate transactions. -What kind of information does this form ask for? The type of questions on Commission Form 18 vary depending on whether or not there are any children involved in the transaction.

You will find information regarding the type of form you intend to fill out in the table. It will tell you how much time it will require to finish commission form 18, exactly what parts you will need to fill in, etc.

QuestionAnswer
Form NameCommission Form 18
Form Length1 pages
Fillable?Yes
Fillable fields55
Avg. time to fill out11 min 19 sec
Other namesnc 18 form, nc workers comp form 18, nc commission industrial forms, nc industrial commission form 18

Form Preview Example

NORTH CAROLINA INDUSTRIAL COMMISSION

IC File #

NOTICE OF ACCIDENT TO EMPLOYER AND CLAIM OF EMPLOYEE, REPRESENTATIVE, OR DEPENDENT

Emp. Code #

Carrier Code #

(G.S. §§97-22 THROUGH 24)

The Use Of This Form Is Required Under The Provisions of The Workers' Compensation Act

Employer FEIN

The I.C. File # is the unique identifier for this injury. It will be provided by return letter and is to be referenced in all future correspondence.

Employee’s Name

Address

 

City

 

 

State

Zip

(

)

 

(

)

 

Home Telephone

 

Work Telephone

 

 

M F

 

/

/

Social Security Number

Sex

 

Date of Birth

 

(

)

 

 

 

Employer's Name

 

 

Telephone Number

 

 

 

 

 

 

Employer’s Address

 

City

State

Zip

 

 

 

 

 

Insurance Carrier

 

Policy Number

 

 

 

 

 

 

 

 

Carrier’s Address

 

City

State

Zip

 

 

 

 

Carrier’s Telephone Number

Carrier’s Fax Number

 

 

EMPLOYEE – This form must be filed with the Industrial Commission within two years of the date of injury or occupational disease or your claim may be barred. Notice shall be given to the employer immediately after the accident or as soon as practicable and within 30 days. (This form should also be used for occupational disease claims; however, for asbestosis, silicosis and byssinosis, Form 18B is to be used.)

Notice is hereby given, as required by law, that the above-named employee sustained an injury or contracted an occupational disease,

described as follows:

 

on

 

at

 

. Describe the injury or occupational disease,

 

Time of Injury

Date (required)

City and County

including the specific body part involved (e.g., right hand, left hand) Describe how the injury or occupational disease occurred:

Occupation when injured:

Number of days out of work due to injury:

Medical treatment received?

Yes

Nature of employer’s business:

No

Weekly wage: $

Number of hours worked per day:

Days worked per week:

 

 

 

 

 

 

NOTE: If employee is unable to sign this form, another may sign for him. This form should be typed or printed by hand in black ink, if possible. Employee should retain one signed copy of this notice, mail one signed copy to the Industrial Commission at the address below, and provide one signed copy to employer.

 

 

 

(

)

 

 

Signature of (Check One) Employee, Attorney,

 

 

 

Telephone Number

 

Representative, or Dependent

 

 

 

 

 

 

 

 

 

 

 

Address

City

State

Zip

Date Completed

EMPLOYER: This notice is being sent to you in compliance with requirements of the North Carolina Workers’ Compensation Act, in order that the medical services prescribed by the Act may be obtained; and, if disability extends beyond 7 days duration, or if death ensues, compensation may be paid according to law.

FORM 18 8/08

PAGE 1 OF 1

FOR IC USE ONLY

RESEARCHER:

______

CC:_____________

EC: _____________

DATA ENTRY: ______

FORM 18

MAIL TO:

NCIC - CLAIMS ADMINISTRATION 4335 MAIL SERVICE CENTER RALEIGH, NORTH CAROLINA 27699-4335 MAIN TELEPHONE: (919) 807-2500

HELPLINE: (800) 688-8349

WEBSITE: HTTP://WWW.IC.NC.GOV/

How to Edit Commission Form 18

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Step 1: First, select the orange "Get form now" button.

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Fill in the nc industrial commission form PDF and type in the content for each and every section:

filling out nc 18 form stage 1

Jot down the information in Employee’s Name Address City ( ), described as follows: including, Time of Injury, Date (required), City and County, Occupation when injured: Number of, Number of hours worked per day:, Nature of employer’s business:, Days worked per week:, NOTE: If employee is unable to, Signature of (Check One) ฀, ฀ Representative, Telephone Number, Address EMPLOYER: This notice is, State Zip Date Completed, and City.

part 2 to finishing nc 18 form

The system will ask you for details to conveniently fill in the field FORM 18 8/08 PAGE 1 OF 1, RESEARCHER:, CC: _____________ EC:, FORM 18, and MAIL TO: NCIC - CLAIMS.

nc 18 form FORM 18 8/08 PAGE 1 OF 1, RESEARCHER:, CC: _____________ EC:, FORM 18, and MAIL TO: NCIC - CLAIMS blanks to fill

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