North Carolina Administrative Code
Title 11 - INSURANCE
Chapter 23 - INDUSTRIAL COMMISSION
Subchapter A - WORKERS' COMPENSATION RULES
Section .0900 - REPORT OF EARNINGS
Section 23A .0901 - CHECK ENDORSEMENT

Universal Citation: 11 NC Admin Code 23A .0901
Current through Register Vol. 39, No. 6, September 16, 2024

If a self-insured employer, carrier or third party administrator places "check endorsement" language on the back of an employee's check, the following language (or language approved by the Commission as equivalent) shall be used:

By endorsing this check, I certify that I have not worked for or earned wages from any business or individual during the period covered by this check, or that I have reported any earnings to the employer or carrier paying me workers' compensation benefits. I understand that making a false statement by endorsing this benefit check may result in civil and criminal penalties.

Authority G.S. 97-80(a); 97-88.2;
Eff. June 1, 2000;
Amended Eff. November 1, 2014;
Recodified from 04 NCAC 10A .0901 Eff. June 1, 2018.

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