We at the Insurance Service Center have compiled the following documents as a service to our prospective or current customers.

Agency Reference Materials

NC Department of Insurance Resources

NC Industrial Commission Resources

  • Form 17 — Workers’ Compensation Notice and Instruction to Employer’s and Employees – English
  • Form 17 — Workers’ Compensation Notice and Instruction to Employer’s and Employees – Spanish
  • Form 19 — Employer’s Report of Employee’s Injury or Occupational Disease to the Industrial Commision – Printable Form
  • Form 19 — Employer’s Report of Employee’s Injury or Occupational Disease to the Industrial Commision – Interactive Form
  • The North Carolina Workers’ Compensation Act. (1929 c. 120, s. 1; 1979, c. 714, s. 1.)
  • If you are injured, does your employer have Workers’ Compensation to cover you???

HBA Membership Forms