Get the ncic form 28u 2002

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

4.3

Satisfied

27

 Votes

NC Form 28U Form Versions

Version Form Popularity Fillable & printable
NC Form 28U 2016 4.8 Satisfied
(180 Votes)
NC Form 28U 2002 4.3 Satisfied
(27 Votes)
Please select the version for fillable NC Form 28U form
  • 2016 NC Form 28U Fillable
  • 2002 NC Form 28U Fillable
  • More...