Temporary Solutions Web Refresh

Check out the Temporary Solutions section for resources on all of your temporary employment needs! Visit Now!

An official website of the State of North Carolina An official website of NC How you know

State Government websites value user privacy. To learn more, view our full privacy policy.

Secure websites use HTTPS certificates. A lock icon or https:// means you’ve safely connected to the official website.

Utility Menu

NC.GOV
AGENCIES
JOBS
SERVICES

Main menu

Home
Work for NC
State Employee Resources
Policies
News
About OSHR

Utility Menu

NC.GOV
AGENCIES
JOBS
SERVICES

Home
Documents

Form 17 NC Workers Compensation Program revised

FINAL NEW NCIC Form 17 for posting 7.1.23.pdf

PDF • 132.59 KB - June 30, 2023

Workers' Compensation Administrator

Fact Sheets

Document Entity Terms

Workers' Compensation Administrator

First Published

June 13, 2016

Last Updated

June 30, 2023

Contact

Mailing Address: MSC 1331, Raleigh, NC 27699-1331

Physical Address: 333 Fayetteville Street, Raleigh, NC 27601

Phone Number: 984-236-0800

Facebook X

Report Fraud Hotline

Fraudulent activities should always be reported to your local law enforcement office. The following is additional information on how specific types of fraud complaints or cases of suspected fraud can be submitted to state agencies.

Visit the Hotline!

Network Menu

Employee Directory
nc.gov
Website Feedback
Accessibility
Disclaimer & Terms of Use
Privacy Policy
Open Budget

Hosted on Digital Commons