Fill a Valid 19 North Carolina Form

The North Carolina Form 19 serves as the Employer’s Report of Employee's Injury or Occupational Disease to the Industrial Commission. This form is essential for documenting workplace injuries and ensuring compliance with state laws. Employers are required to provide a completed Form 19 to both the injured employee and their insurance carrier. While this form is a crucial part of the reporting process, it does not fulfill the employee’s obligation to file a claim for workers’ compensation benefits. To initiate a claim, employees must complete and submit a separate Form 18 to the North Carolina Industrial Commission within two years of the injury or the onset of an occupational disease. The Form 19 collects vital information, including the nature of the employer’s business, details about the injury, and the employee’s work history. It also requires specifics such as the date and time of the injury, the supervisor's name, and the wages of the injured employee. Accurate completion of this form is crucial, as it must be submitted within five days of the employer’s knowledge of the accident. Furthermore, the form emphasizes the importance of protecting employee confidentiality while gathering information for occupational safety and health purposes. Employers must ensure that every question on the form is answered thoroughly to avoid delays in the claims process.