Give your employer written notice of the injury within 30 days — verbal notice alone is risky

You have the right to choose your own treating physician from the employer's approved list

If your claim is denied, request a hearing before the NC Industrial Commission

Workers' Compensationmoderate

North Carolina Notice of Accident to Employer

Form 18 · North Carolina Industrial Commission

Notice of Accident to Employer and Claim of Employee. Must be filed when injured on the job in North Carolina. Written notice to employer required within 30 days; claim filed within 2 years.

Form Details

Total fields: 35
Auto-fillable: 22 (63%)
Time without BeneFill: 25 minutes
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Filled by: patient
Frequency: per incident
State-specific: Yes — form may vary by state

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Where to Submit This Form

🌐

NC Industrial Commission e-Filing

https://www.ic.nc.gov/fileclaim.html

File your Form 18 Notice of Accident electronically.

📬

Mail to NC Industrial Commission

North Carolina Industrial Commission 430 North Salisbury Street Raleigh, NC 27603

Filing Deadline

Within 2 years of the injury. However, you must give written notice to your employer within 30 days of the accident.

Required Attachments

📎 Completed Form 18 (Notice of Accident to Employer and Claim of Employee)
📎 Medical records documenting the work injury

Processing Time

The employer/insurer should respond within 14 days of receiving the claim. The Industrial Commission will schedule a hearing if the claim is disputed.

What Happens Next

The NC Industrial Commission will assign a case number. If the employer/insurer accepts, benefits should begin promptly. If denied, you can request a hearing.

Tips for This Form

✓ Give your employer written notice of the injury within 30 days — verbal notice alone is risky
✓ You have the right to choose your own treating physician from the employer's approved list
✓ If your claim is denied, request a hearing before the NC Industrial Commission
✓ More info: https://www.ic.nc.gov/

More Workers' Compensation Forms

First Report of Injury (Generic FROI)

FROI · State Workers' Compensation Agencies

Report of workplace injury or occupational disease filed with the state agency and insurer. Required within 3-10 days of injury depending on state. Establishes the claim in the system.

California Workers' Comp Claim Form

DWC-1 · California Division of Workers' Compensation

Employee claim form for workers' compensation benefits in California. Employer must provide within one working day of learning of a workplace injury or illness.

New York Employee Claim

C-3 · New York Workers' Compensation Board

Employee's claim for compensation filed with the NY Workers' Compensation Board. Must be filed within 2 years of the accident or within 2 years of when the claimant knew or should have known the condition was work-related.

Texas Employee's Claim for Compensation

DWC-041 · Texas Department of Insurance, Division of Workers' Compensation

Employee's claim for compensation for a work-related injury or illness in Texas. Must be filed within one year of injury or within one year of when the employee knew or should have known the condition was work-related.

Florida First Report of Injury or Illness

DFS-F2 · Florida Division of Workers' Compensation

Florida's first report of injury or illness form. Employer must file within 7 days of knowledge of an injury or within 24 hours if the injury results in death.

Employer's First Report of Injury (Longshore)

LS-202 · U.S. Department of Labor (OWCP)

Employer's First Report of Injury or Occupational Illness under the Longshore and Harbor Workers' Compensation Act. Must be filed within 10 days of injury.

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Disclaimer: BeneFill™ provides form-filling assistance and informational guidance only. It is not affiliated with, endorsed by, or sponsored by the North Carolina Industrial Commission or any government agency. The information provided is for general informational purposes and does not constitute legal, medical, financial, or tax advice. Always verify form requirements and submission details directly with the issuing agency.