Get the ncic form 28u

Description
North Carolina Industrial Commission IC File # Emp. Code # Carrier Code # Employer FEIN EMPLOYEE'S REQUEST THAT COMPENSATION BE REINSTATED AFTER UNSUCCESSFUL TRIAL RETURN TO WORK (G.S. 97-32.1) The
Fill & Sign Online, Print, Email, Fax, or Download
Fill Online
  • Fill Online
  • eSign
  • Fax
  • Email
  • Add Annotation
  • Share
ncic form 28u
Rate This Form

4.8

Satisfied

23

 Votes