Search results with tag "North carolina industrial commission permanent"

North Carolina Industrial Commission PERMANENT IMPAIRMENT

FORM 25R 05/2017 PAGE 2 OF 2 EBSITE CARRIERS – FILE VIA ELECTRONIC DOCUMENT FILING PORTAL CONTACT INFORMATION: NCIC-CLAIMS ADMINISTRATION TELEPHONE: (919) 807-2502 HELPLINE: (800) 688-8349 W : HTTP://WWW.IC.NC.GOV FORM 25R Comments: A copy of this form must be provided to the employee or the employee’s attorney of record if any.

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