In the realm of workers' compensation, navigating the maze of paperwork and protocols is a task that many find daunting. Among the myriad forms that employees may encounter is the 25T form, a document mandated by the North Carolina Industrial Commission under the provisions of the Workers' Compensation Act. This form plays a pivotal role in ensuring that employees are reimbursed for travel expenses incurred while receiving medical treatment for a work-related injury. Specifically, it entitles employees to a reimbursement rate of $0.58 per mile for travel distances of 20 miles or more roundtrip, effective from January 1, 2019. The form outlines provisions for special consideration towards employees who are totally disabled and specifies that no reimbursement is available for travel for the sole purpose of purchasing medication or supplies, except under medically necessary circumstances. Additionally, the 25T form provides a structure for claiming reimbursement for other expenses related to overnight stays, meals, parking, and cab fares, with the stipulation that receipts must be submitted for these expenses. It also includes a section for the employee to certify the incurrence of these expenses due to their workers' compensation injury and clarifies the process for submission and payment of the claim. Through this form, the North Carolina Industrial Commission aims to streamline the process of claiming travel-related reimbursements, ensuring that injured employees are not burdened with the financial costs of seeking medical treatment.
| Question | Answer |
|---|---|
| Form Name | Form 25T |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | form 25t nc industrial commission, nc form 25t, form 25t, nc industrial commission form |