Free 19 North Carolina Form

The 19 North Carolina form is a critical document for both employers and employees involved in workplace injuries or occupational diseases. This form serves as the Employer’s Report of Employee's Injury or Occupational Disease to the Industrial Commission, ensuring that necessary information is communicated effectively. Employers must provide a completed Form 19 along with a blank Form 18 to the injured employee, as the latter is essential for filing a formal claim for workers' compensation benefits. It's important to note that the Form 19 itself does not fulfill the employee's obligation to file a claim; that responsibility lies with the employee, who must submit the Form 18 to the Industrial Commission within two years of the injury or last medical payment. The form collects vital details such as the nature of the injury, the time and place it occurred, and the employee's wages, among other specifics. Timely submission of this form is legally required within five days of the employer's knowledge of the accident, and it must be transmitted through the employer's insurance carrier. Both parties should understand their roles in this process to ensure compliance and protect their rights.