North Carolina Industrial Commission Form 60 is the Employer’s Admission of Employee’s Right to Compensation, the document an employer, insurance carrier, or third-party administrator files when it accepts a worker’s job injury claim and agrees to pay benefits under N.C. Gen. Stat. § 97-18(b). When the Commission receives a signed Form 60, it means the company is no longer fighting whether the injury is covered. It is locking in liability for wage checks and medical care.
That single decision carries real weight for everyone at the table. For the injured worker, a Form 60 is the green light that benefits are coming. For the carrier, it is a near-permanent admission that is very hard to undo, since North Carolina law treats a Form 60 as creating a presumption of continuing disability that the employer later has to fight to rebut. With North Carolina employers and insurers filing tens of thousands of injury reports each year through the NCIC Electronic Document Filing Portal, getting this one-page form right the first time saves weeks of delay, avoids a $200 sanction, and keeps the claim out of needless litigation.
Here is what you will learn in this guide:
- 📄 What Form 60 is, who must file it, and the exact statute behind it
- 🧾 Every box and item on the current 03/2020 version, explained in plain English
- 👥 Three real filing scenarios walked through line by line
- 💳 How to file it, where to send it, and what proof to keep
- ⚠️ The mistakes that trigger sanctions, presumptions, and benefit delays
What Form 60 Is and Who Must File It
Form 60 is the official way an employer or its insurance carrier tells the North Carolina Industrial Commission, “We accept this claim.” The form’s full legal name is the Employer’s Admission of Employee’s Right to Compensation, and its header cites G.S. § 97-18(b). The current version carries a revision date of 03/2020 in the bottom corner, so confirm that date before you start. The form itself states in bold that “The Use of This Form Is Required Under the Provisions of the Workers’ Compensation Act,” which means filing it is not optional once the employer decides to accept a claim.
The party that fills out Form 60 is the defendant side of a claim: the employer, the workers’ compensation insurance carrier, or the third-party administrator (TPA) handling the file. The injured worker never fills this form out. The worker receives a copy, and the form speaks directly to both sides, addressing one block “TO DEFENDANTS” and another “TO EMPLOYEE.” A claims adjuster at the carrier usually completes and signs it, though an employer who is self-insured may do it directly.
Form 60 sits inside a family of responsive forms. After a worker reports an injury and the employer files Form 19, the carrier must choose one of three paths: admit the claim with Form 60, deny it with Form 61, or pay while investigating with Form 63. Choosing Form 60 is the strongest commitment of the three. Under North Carolina case law, once a carrier admits compensability on a Form 60, the worker gets a presumption that disability continues, and the burden shifts to the employer to prove the worker can earn wages again. That legal weight is exactly why this form must be filled out with care.
Before You Start: Documents and Information You Need
Gather everything before you open the form. Form 60 is short, but each blank pulls from a separate record, and a single wrong number can throw off the entire compensation rate. Here is the pre-filing checklist:
- The IC File Number. This is the Commission’s claim number assigned after the first forms are filed. Leaving it blank or wrong makes it hard for the Commission to match your form to the right claim, which delays processing.
- Employer Code and Carrier Code numbers. These NCIC-assigned codes identify the business and the insurer. A missing code can route your filing to the wrong record.
- The Carrier File Number. This is the adjuster’s internal claim number, needed so the carrier can track its own file against the Commission’s.
- The employee’s full legal name and last four digits of the Social Security number. The Commission cross-references identity, so a name that does not match payroll records can stall the match.
- The employee’s date of birth and sex. These confirm identity and appear on the form’s identity line.
- Verified wage records covering 52 weeks before the injury. You need gross pay, overtime, and allowances to compute the average weekly wage. Missing wage data is the top cause of a wrong compensation rate.
- The date of injury or date of disablement. For an accident, this is the day of the event. For an occupational disease, it is the date of disablement, which is a different legal concept and a common slip-up.
- The medical records describing the injured body parts. You must list each accepted body part with particularity, so pull the doctor’s notes first.
- The date disability began and the date the first check goes out. These two dates drive Item 4 and the 14-day payment clock.
- The insurance policy number. This ties the claim to active coverage.
If any item is missing, do not guess. A guessed average weekly wage that is too low underpays the worker every single week and can lead to penalties and back-pay orders. A blank IC File Number can leave the form sitting unmatched in the Commission’s intake queue.
Where to Get the Form and How to Access It
The only safe place to get Form 60 is the North Carolina Industrial Commission. Download the official PDF directly from the NCIC Form 60 page, where the current 03/2020 revision lives. Third-party “fillable form” websites often host outdated versions, and the Commission will not accept an out-of-date form, so always pull it from the agency itself.
You can open the PDF in any standard reader and type directly into the fields, or print it and complete it by hand in black ink. Because the final form must be filed electronically through the NCIC Electronic Document Filing Portal, most adjusters fill it out on screen and save a clean PDF. If you have questions while completing it, the Commission’s Claims Administration section answers at (919) 807-2502, and the statewide helpline is (800) 688-8349.
The form is one page, but do not mistake length for simplicity. Every blank on that single page either identifies the claim or commits the carrier to a specific dollar figure or date. Read the whole page once before typing anything, because the top identity block and the bottom benefit items must agree with each other and with the records you gathered. Keep the official PDF saved locally so you always work from the current version rather than an emailed copy that may be stale.
Step-by-Step: How to Fill Out Form 60 Line by Line
Work through the form from the top header codes down to the signature. The fields below appear in the order printed on the 03/2020 version.
IC File # and the Code Numbers (Header Block)
What it asks in plain English. The top-right corner asks for four tracking numbers: the IC File #, the Emp. Code #, the Carrier Code #, and the Carrier File #.
How to answer it. Type the Commission’s IC File Number first, then the employer and carrier code numbers assigned by the NCIC, then the carrier’s own internal file number. Use digits exactly as they appear on prior correspondence.
Example entry. A TPA adjuster writes the IC File as W1234567, the Carrier Code as 12345, and the Carrier File as NC-2026-0455.
Nuance or edge case. If the Commission has not yet assigned an IC File Number on a brand-new claim, leave that blank and let the Commission populate it, but never leave the carrier code blank if you have it.
Common mistake and consequence. Transposing digits in the IC File Number means the Commission cannot match your admission to the open claim, so the file sits unprocessed and the benefit clock keeps ticking against you.
Misconception. Some filers think these codes are optional internal notes. They are routing keys the Commission uses to file your document, and wrong codes cause real delays.
Employee’s Name
What it asks in plain English. This blank asks for the injured worker’s name.
How to answer it. Enter the worker’s full legal name as it appears on payroll and Social Security records, last name spelled exactly right.
Example entry. Carlos R. Mendez writes his name as it reads on his paycheck and W-2.
Nuance or edge case. If the worker recently changed names, use the name on current payroll and note the prior name in the description field if needed for matching.
Common mistake and consequence. A nickname or misspelling that does not match Commission records can break the identity cross-check and delay acceptance of the filing.
Misconception. People assume “close enough” works because the SSN is also listed. The Commission matches on both, so a sloppy name still causes friction.
Employer’s Name, Address, and Telephone
What it asks in plain English. These blanks identify the business where the worker was hurt.
How to answer it. Enter the employer’s exact legal business name, full street address with city, state, and ZIP, and a working telephone number.
Example entry. Piedmont Framing LLC, 418 Mill Creek Rd, Hickory, NC 28601, phone (828) 555-0142.
Nuance or edge case. If the employer operates under a trade name different from its legal entity, use the legal entity name that matches the insurance policy.
Common mistake and consequence. Listing a parent company instead of the insured entity can create a coverage mismatch that the carrier must later correct, slowing payment.
Misconception. Filers think any company address works. The address should be the location tied to the policy and the claim, not a distant corporate headquarters.
Employee’s Address and Contact Numbers
What it asks in plain English. This block asks where the worker lives and how to reach them by home and work phone.
How to answer it. Enter the worker’s current mailing address and both phone numbers in the formatted boxes.
Example entry. 2207 Oak Hollow Dr, Hickory, NC 28602, home (828) 555-0199.
Nuance or edge case. If the worker uses a P.O. Box, enter it for mail, but the Commission and carrier prefer a physical address when one exists.
Common mistake and consequence. An old address means the worker may never receive their copy of the form, and the law requires that the employee get a copy.
Misconception. Some assume the carrier address replaces the worker’s. Both parties have separate address blocks, and each must be filled in.
Insurance Carrier, Policy Number, and Carrier Contact Block
What it asks in plain English. These fields identify the insurer, the policy, and how to reach the carrier.
How to answer it. Enter the carrier’s legal name, the exact policy number, the carrier’s address, telephone, and fax.
Example entry. Carrier Granite Mutual Insurance, policy WC-NC-88291, phone (800) 555-0170.
Nuance or edge case. For a self-insured employer, list the self-insurance program or the TPA handling claims in this block.
Common mistake and consequence. A wrong policy number can sever the link between the claim and active coverage, which can stall or void timely payment.
Misconception. Filers think the policy number is just paperwork. It is the proof that coverage existed on the date of injury.
Last 4 Digits of SSN, Sex, and Date of Birth
What it asks in plain English. This identity line asks for the final four SSN digits, the worker’s sex, and birth date.
How to answer it. Enter only the last four SSN digits after the printed XXX-XX- prefix, check the M or F box, and write the date of birth as MM/DD/YYYY.
Example entry. 4471, box M checked, date of birth 07/09/1986.
Nuance or edge case. Never write the full nine-digit SSN. The form is built to capture only the last four to protect privacy.
Common mistake and consequence. Entering the full SSN exposes private data on a filed public-record document and may require a corrected refiling.
Misconception. Some believe the full number is needed for matching. The Commission designed the field for four digits on purpose, paired with name and birth date.
TO DEFENDANTS / TO EMPLOYEE: The Admission Statement
What it asks in plain English. This is the heart of the form. It tells the worker that the employer admits the right to compensation, and it asks you to “describe with particularity the body part(s) or condition(s)” you are accepting.
How to answer it. Check whether this is an injury by accident or an occupational disease, enter the correct date, and list each accepted body part or condition specifically.
Example entry. Injury by accident on 04/02/2026 — fracture of the right distal radius (right wrist) and right elbow contusion.
Nuance or edge case. If only certain body parts are accepted and others are still under review, list only the accepted parts here, because everything you name is admitted.
Common mistake and consequence. Writing something vague like “right arm” instead of naming each part can expand or blur what you have admitted, leading to disputes over later-claimed conditions.
Misconception. Adjusters think general wording protects them. The opposite is true. Broad language can be read to admit more than intended, while overly narrow wording can spark a hearing.
Item 1: Description of the Injury or Occupational Disease
What it asks in plain English. Item 1 asks for a fuller written description of the injury or disease, including body parts involved.
How to answer it. Write a clear, plain sentence describing how the injury happened and which body parts are involved, matching the admission block above.
Example entry. Employee fell from a ladder while framing a roof and fractured the right wrist; right elbow bruised in the same fall.
Nuance or edge case. This item is labeled informational and does not by itself constitute an agreement, but it still must be consistent with the admission, or you invite confusion.
Common mistake and consequence. A description here that contradicts the body parts named above creates an internal conflict the Commission or worker’s attorney can challenge.
Misconception. Because the form says Items 1 through 4 are “for informational purposes only,” filers think they can be careless. Inconsistencies still cause real disputes.
Item 2: Paid for the Entire Day of Injury
What it asks in plain English. Item 2 asks a simple yes-or-no: was the worker paid for the full day they got hurt?
How to answer it. Check Yes or No based on payroll for the date of injury.
Example entry. Payroll shows Carlos finished a partial shift and was paid for the full day, so the adjuster checks Yes.
Nuance or edge case. This answer affects how the waiting period and first day are counted, so verify against the timecard rather than assuming.
Common mistake and consequence. Guessing the wrong box can shift the disability start date and the waiting-period math, which can under- or over-state benefits.
Misconception. Filers treat this as trivial. It interacts with the seven-day waiting period under the Act and matters for the first check.
Item 3: Average Weekly Wage and Compensation Rate
What it asks in plain English. Item 3 asks for the worker’s average weekly wage, including overtime and all allowances, and the resulting weekly compensation rate.
How to answer it. Compute the average weekly wage from verified earnings over the 52 weeks before the injury, then enter both the wage and the rate, which is generally two-thirds of the average weekly wage subject to the state maximum.
Example entry. $960.00 average weekly wage producing a $640.00 weekly compensation rate.
Nuance or edge case. The form says the wage is “subject to verification,” so use the best verified figure, and include overtime and allowances such as housing or per diem where they count as wages.
Common mistake and consequence. Omitting overtime or allowances understates the wage, which underpays the worker every week and can lead to a back-pay order and penalties.
Misconception. Many assume base pay alone is the wage. The form expressly demands overtime and all allowances, not just straight-time pay.
Item 3a, 3b, and 3c: Type of Compensation Being Paid
What it asks in plain English. These sub-items ask which kind of wage benefit is being paid: temporary total, temporary partial, or other.
How to answer it. Check 3a if paying temporary total at the rate above, fill the dollar amount in 3b if paying temporary partial, or describe any different arrangement in 3c.
Example entry. Carlos is fully out of work, so the adjuster checks 3a — Temporary total compensation is being paid at the compensation rate above.
Nuance or edge case. A worker on light duty earning reduced wages gets temporary partial under 3b, calculated on the wage difference, not the full rate.
Common mistake and consequence. Checking total when the worker is actually earning light-duty wages overpays and creates a credit dispute later.
Misconception. Filers think they must pick only 3a. Temporary partial and “other” exist for return-to-work and unusual pay situations.
Item 4: Date Disability Began and Date Compensation Commenced
What it asks in plain English. Item 4 asks two dates: when the disability started and when the first compensation payment began.
How to answer it. Enter the date the worker became disabled from earning wages, then the date the first check is issued, both as MM/DD/YYYY.
Example entry. Disability began 04/03/2026, and compensation commenced 04/17/2026.
Nuance or edge case. Under G.S. § 97-18, the first payment is generally due within 14 days after the employer has notice of disability, so the commencement date should respect that window.
Common mistake and consequence. A commencement date more than 14 days after notice can trigger a late-payment penalty of ten percent on the overdue compensation.
Misconception. Filers confuse the date of injury with the date disability began. They are often different, especially when a worker keeps working before going out.
Signature of Employer or Carrier/Administrator, Title, and Date
What it asks in plain English. The bottom line asks who is signing, their job title, and the date of signing.
How to answer it. The authorized employer representative, adjuster, or administrator signs, prints their title, and dates the form MM/DD/YYYY.
Example entry. Signed by Dana Whitfield, title Senior Claims Adjuster, date 04/16/2026.
Nuance or edge case. Only a person with authority to admit liability for the carrier or employer should sign, since the signature commits the company.
Common mistake and consequence. An unsigned or undated form is incomplete, and the Commission can reject it, restarting the clock and risking sanctions.
Misconception. Some think any office staffer can sign. The signer is admitting liability, so authority matters.
The Bottom Notice: Form 28B and Form 30 Warnings
What it asks in plain English. The footer is not a blank to fill but a warning. It says the employer must file Form 28B within 16 days after the last payment, and that Form 30 must be used for compensable injuries that result in death.
How to answer it. No entry is needed, but read it and calendar the Form 28B deadline now, and give a copy of the Form 60 to the employee and any attorney of record.
Example entry. The adjuster notes a tickler: file Form 28B within 16 days of final payment.
Nuance or edge case. If the claim involves a death, you do not use Form 60 at all for that piece; you use Form 30.
Common mistake and consequence. Missing the Form 28B deadline subjects the employer or carrier to a penalty under G.S. § 97-18(h).
Misconception. Filers think the footer is boilerplate. It sets two hard duties that follow filing.
Three Filled-Out Examples Using Real Scenarios
Below are three common fact patterns, each followed through the form from top to bottom.
Scenario 1: Carlos, a Ladder Fall With Total Disability
Carlos Mendez fell off a ladder framing a roof and fractured his right wrist. His employer’s carrier accepts the claim and pays full wage benefits while he is out.
| Form Section | What Carlos’s Carrier Enters |
|---|---|
| Admission type | Injury by accident on 04/02/2026 |
| Body parts described | Fracture of right distal radius (right wrist); right elbow contusion |
| Item 1 description | Fell from ladder while framing a roof; right wrist fractured |
| Item 2 paid full day | Yes |
| Item 3 average weekly wage | $960.00 |
| Item 3 compensation rate | $640.00 |
| Item 3a / 3b | 3a Temporary total checked |
| Item 4 disability began | 04/03/2026 |
| Item 4 compensation commenced | 04/17/2026 |
| Signature and title | Dana Whitfield, Senior Claims Adjuster, 04/16/2026 |
Scenario 2: Aisha, an Occupational Disease Claim
Aisha Bell developed carpal tunnel syndrome from years of repetitive assembly work. Her employer’s TPA admits the occupational disease and begins paying.
| Form Section | What Aisha’s TPA Enters |
|---|---|
| Admission type | Occupational disease on 03/10/2026 (date of disablement) |
| Condition described | Bilateral carpal tunnel syndrome, both wrists/hands |
| Item 1 description | Repetitive assembly work caused bilateral carpal tunnel syndrome |
| Item 2 paid full day | No |
| Item 3 average weekly wage | $780.00 |
| Item 3 compensation rate | $520.00 |
| Item 3a / 3b | 3a Temporary total checked |
| Item 4 disability began | 03/10/2026 |
| Item 4 compensation commenced | 03/23/2026 |
| Signature and title | Marcus Lee, Claims Examiner, 03/20/2026 |
Scenario 3: Janet, Return to Light Duty at Reduced Wages
Janet Carver hurt her back lifting boxes, returned on light duty at lower pay, and her carrier admits the claim and pays the wage difference.
| Form Section | What Janet’s Carrier Enters |
|---|---|
| Admission type | Injury by accident on 02/14/2026 |
| Body parts described | Lumbar spine strain (lower back) |
| Item 1 description | Lifting boxes in warehouse; strained lower back |
| Item 2 paid full day | Yes |
| Item 3 average weekly wage | $840.00 |
| Item 3 compensation rate | $560.00 |
| Item 3a / 3b | 3b Temporary partial in the amount of $210.00 |
| Item 4 disability began | 02/15/2026 |
| Item 4 compensation commenced | 02/28/2026 |
| Signature and title | Priya Nair, Adjuster, 02/26/2026 |
How to File the Completed Form 60
North Carolina now files claim documents electronically, so the primary channel is the NCIC Electronic Document Filing Portal. Upload the signed PDF through the portal at http://www.ic.nc.gov/docfiling.html. There is no filing fee for Form 60. Electronic submissions are processed in the order received, and the portal generates a confirmation you should save as your proof of filing.
The form’s own footer also instructs that the original be provided to the Industrial Commission and a copy provided to the employee and the employee’s attorney of record, if any. That means serving the worker is a required step, not a courtesy. Send the worker’s copy by mail or email to the address you entered on the form, and keep proof that you sent it.
For questions about a filing or to confirm receipt, contact NCIC Claims Administration at (919) 807-2502, use the helpline at (800) 688-8349, or visit the Commission’s website. Keep three things in your file as proof: the portal confirmation, the signed PDF you uploaded, and evidence that you served the employee. If a payment dispute ever arises, that confirmation and service proof are your defense that you acted on time.
| Filing Step | What to Do |
|---|---|
| Channel | Upload signed PDF through the electronic filing portal |
| Fee | None |
| Serve the employee | Mail or email a copy to the worker and any attorney |
| Processing time | In the order received; save the portal confirmation |
| Proof to keep | Portal confirmation, signed PDF, and proof of service on the worker |
What Happens After You File
Once the Commission receives a valid Form 60, the claim is officially accepted, and the worker is entitled to the wage and medical benefits the form promises. The first compensation payment must already be flowing, since under G.S. § 97-18 the first check is generally due within 14 days of the employer’s notice of disability. The worker keeps receiving checks at the rate stated in Item 3 for as long as the disability continues.
Filing a Form 60 also changes the legal landscape. North Carolina courts treat a Form 60 admission as creating a presumption that the worker’s disability continues, which shifts the burden to the employer to prove the worker can return to work before stopping benefits. To stop or change payments later, the employer usually must file a Form 24 application and get the Commission’s approval, not just cut off the check.
When benefits eventually end, the employer must file Form 28B within 16 days of the last payment to report what was paid. Skipping that step triggers a penalty under G.S. § 97-18(h). Throughout the life of the claim, medical treatment for the accepted body parts continues to be the carrier’s responsibility.
Mistakes to Avoid When Filling Out Form 60
Each blank on this one-page form is a chance to make a costly error. Watch for these:
- Wrong average weekly wage. Understating the wage underpays the worker every week and can trigger back pay and penalties.
- Forgetting overtime and allowances. Item 3 demands them, and leaving them out lowers the rate unlawfully.
- Vague body-part descriptions. Writing “arm” instead of naming each part muddies what you admitted and invites disputes.
- Confusing date of injury with date disability began. Item 4 needs the disability date, and mixing them throws off the payment clock.
- Missing the 14-day payment window. A late commencement date can cost a ten-percent late penalty on overdue compensation.
- Leaving the IC File Number blank when it exists. The Commission cannot match your form, so it sits unprocessed.
- Entering the full Social Security number. The form wants only the last four digits, and the full number exposes private data.
- Checking the wrong compensation type. Marking total when the worker is on light duty overpays and creates credit fights.
- Filing Form 60 on a death claim. Compensable death claims require Form 30, not Form 60.
- Forgetting to serve the employee. The law requires giving the worker a copy, and skipping it is a procedural violation.
- Not calendaring Form 28B. Missing the 16-day post-payment deadline brings a statutory penalty.
- Signing without authority or date. An unsigned or undated form is incomplete and can be rejected.
Do’s and Don’ts
Do’s
- Do download the current 03/2020 form from the official NCIC page, because outdated versions are rejected.
- Do verify the wage from 52 weeks of records, since the rate depends on it.
- Do name each accepted body part specifically, so the admission is clear.
- Do start the first payment within 14 days of notice, to avoid the late penalty.
- Do serve the worker and any attorney a copy, because the law requires it.
- Do save the portal confirmation, as it is your proof of timely filing.
Don’ts
- Don’t guess the average weekly wage, because a wrong number underpays and brings penalties.
- Don’t write the full SSN, since the form captures only the last four digits.
- Don’t use Form 60 if you intend to keep investigating, because that is what Form 63 is for.
- Don’t confuse the injury date with the disability date in Item 4, as it skews the math.
- Don’t forget the Form 28B deadline, because missing it triggers a penalty.
- Don’t sign unless you have authority to admit liability, since the signature binds the company.
Pros and Cons of Filing Form 60 vs. Other Options
Choosing Form 60 over a denial or a pay-without-prejudice form has trade-offs. The table compares accepting with Form 60 against paying under Form 63.
| Form 60 (Admission) | Form 63 (Payment Without Prejudice) |
|---|---|
| Fully accepts the claim and locks in liability | Pays benefits while the carrier keeps investigating |
| Creates a presumption of continuing disability favoring the worker | Preserves the right to deny within the investigation window |
| Worker gets certainty that benefits will continue | Worker faces possible later denial after investigation |
| Hard to reverse; usually needs Form 24 to stop benefits | Can convert to a denial if evidence does not support the claim |
| Best when compensability is clear and not in dispute | Best when facts are still unclear and need review |
Pros of filing Form 60
- It resolves compensability fast, avoiding a needless hearing.
- It builds goodwill with the worker by committing to benefits.
- It avoids the sanctions that come from foot-dragging on a clear claim.
- It gives the carrier a clean record of exactly what was admitted.
- It starts medical care promptly for the accepted body parts.
Cons of filing Form 60
- It is very hard to undo once filed.
- It hands the worker a presumption of continuing disability.
- A wrong wage figure locks in an error that is costly to fix.
- It removes the investigation cushion that Form 63 provides.
- It commits the carrier to the Form 24 process to ever stop benefits.
FAQs
Is Form 60 filed by the employer or the injured worker?
No. The injured worker never files Form 60. The employer, insurance carrier, or third-party administrator files it to admit the claim, and the worker only receives a copy.
Is Form 60 the same as accepting full liability?
Yes. Filing Form 60 under G.S. § 97-18(b) admits the worker’s right to compensation and commits the carrier to wage and medical benefits for the accepted injury.
Do I write the full Social Security number in the SSN box?
No. The form prints XXX-XX- and asks for only the last four digits, so enter just those four numbers to protect the worker’s private information.
Do I list every body part in the description field?
Yes. The form tells defendants to describe with particularity each body part or condition admitted, so name each one rather than writing a vague term like “arm.”
Is the date of injury the same as the date disability began in Item 4?
No. They are often different, because a worker may keep working after the injury before going out, and Item 4 asks specifically for the date disability began.
Do I include overtime and allowances in the average weekly wage?
Yes. Item 3 expressly requires the wage to include overtime and all allowances, so leaving them out understates the rate and underpays the worker.
Can a Form 60 be withdrawn after it is filed?
No. A Form 60 admission is very hard to reverse, and to stop benefits later the employer generally must file a Form 24 and get Commission approval.
Is there a fee to file Form 60?
No. The North Carolina Industrial Commission does not charge a fee to file Form 60 through the electronic filing portal.
Do I check Item 3a if the worker is on light duty earning some wages?
No. Light-duty workers earning reduced wages get temporary partial compensation under Item 3b, not the temporary total box in 3a.
Is Form 60 used when a work injury causes death?
No. Compensable injuries that result in death require Form 30, and the form’s footer states this directly.
Do I have to give the worker a copy of the filed form?
Yes. The form requires a copy be provided to the employee and the employee’s attorney of record, with the original going to the Commission.
Is the first payment due immediately after filing Form 60?
Yes. Under G.S. § 97-18, the first compensation payment is generally due within 14 days of the employer’s notice of disability, and a late payment can bring a ten-percent penalty.
Do I still need to file Form 28B after benefits end?
Yes. The employer must file Form 28B within 16 days after the last payment, or face a penalty under G.S. § 97-18(h).
Is Form 60 different from Form 61?
Yes. Form 60 accepts a claim, while Form 61 denies it, so the two forms represent opposite decisions on compensability.
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