Workers’ Compensation

Injured while at work? Contact your supervisor immediately. For emergency situations, call 911.

Preferred Providers

Medac Urgent Care
4402 Shipyard Blvd. Wilmington, NC 28403
910-791-0075

Medac Urgent Care (Porter’s Neck)
8115 Market St. Suite 100, Wilmington, NC 28411
910-686-1972

If Medac Urgent Care is not open, or for emergencies, seek treatment at the nearest medical facility.

Supervisors

1. Report the injury/accident to the Workers’ Compensation Administrator or Human Resources by contacting 910-362-7312 .
2. Complete the Supervisor Checklist
3. Forms
   1. Injury Data Collection Form
   2. Supervisor Incident Investigation Report
   3. Employee Incident Report
   4. Witness Incident Report
   5. Vehicle Accident Report
   6. Letter to Treating Physician
   7. Work-Related Injury – Illness – Return to Work Report
   8. Refusal of Treatment
   9. Employee Use of Leave Options Form

Employees

1. Report the injury/accident to your supervisor immediately
2. Complete the Employee Checklist
3. Forms:
   1. Employee Incident Report
   2. Work-Related Injury – Illness – Return to Work Report
   3. Letter to Treating Physician