The first days of a work-injury claim can involve medical care, employer reporting, Commission filing, insurance questions, and work restrictions at the same time. These answers organize the early steps; the facts and procedural posture of an individual claim can change what is required.

Part One follows the first claim decisions: health and safety, employer notice, Form 18, treatment, claim status, records, and filing time.

What should I do immediately after a workplace injury?

Address urgent health and safety needs. Record the exact task, location, time, mechanism, body areas, symptoms, witnesses, equipment, and people notified. Preserve photographs, video requests, incident records, messages, schedules, and physical evidence without delaying appropriate care.

How do I notify my employer?

G.S. 97-22 addresses notice of an accident to the employer. Use accurate written notice identifying the employee, employer, date, event, and affected body areas. Keep the complete notice and proof of delivery even if a supervisor already knows about the incident.

Is an internal incident report the same as filing a claim?

No single document should be assumed to perform every function. An employer incident report, insurer claim number, or medical authorization may document part of the process. The employee should separately confirm employer notice, Commission filing, claim identity, and benefit status.

What is Form 18?

The Industrial Commission forms page identifies Form 18 as the employee’s notice of accident and claim form. Use the current form and filing instructions. Preserve the exact filed copy, employer copy, transmission record, acknowledgment, and claim number.

Does the employer file a different form?

Employers and carriers use their own reports and Commission forms. An employer’s reporting duty does not eliminate the employee’s need to preserve an accurate filing record. Obtain copies of documents that affect acceptance, payment, denial, treatment, or work status.

Who directs medical treatment?

G.S. 97-25 addresses medical compensation, employer-provided treatment, employee requests, and Commission procedure. In an emergency, health comes first. For continuing care, record authorization, appointments, referrals, diagnoses, restrictions, second-opinion issues, requests, responses, and any disputed treatment.

What should I tell a medical provider?

Give an accurate event or exposure history, symptom onset, affected areas, prior conditions, medications, later events, duties, and work demands. Ask that restrictions describe functional limits clearly. Do not ask a clinician to adopt a legal conclusion; preserve the clinical reasoning and source facts.

How can I tell whether the claim is accepted?

Look for the actual Commission form or written carrier position and identify what injury, body area, condition, benefit, and time period it covers. Medical payment, a claim number, or an adjuster’s contact does not necessarily state that every issue is accepted.

What records should I keep?

  • Notice, Form 18, employer reports, Commission filings, acknowledgments, and claim correspondence
  • Incident evidence, witness contacts, photographs, video requests, equipment, and safety records
  • Medical records, bills, prescriptions, referrals, restrictions, mileage, and appointment history
  • Schedules, job duties, wage records, paystubs, leave, missed work, offered work, and post-injury earnings
  • A dated communication log identifying sender, role, subject, request, response, and attachment

How long do I have to file?

G.S. 97-24 contains the claim-filing bar and identified provisions. Occupational disease and other circumstances can present different trigger questions. Do not assume treatment, internal reporting, negotiation, or payment preserves every filing right.

Should I sign an authorization or statement immediately?

Identify who is requesting it, the purpose, scope, time period, recipients, duration, revocation terms, and effect. Correct inaccurate factual statements through a traceable process and retain every version. A focused request can be evaluated without volunteering unrelated private information.

Where can I see the complete filing sequence?

The related workers’ compensation filing guide explains notice, Form 18, employer reporting, claim status, medical care, wage records, disputes, and settlement checkpoints.

Rosensteel Fleishman Car Accident & Injury Lawyers provides information about starting a workers’ compensation claim in North Carolina.

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