NCSBT Members

SAVE THE DATE:  March 9 and 10, 2017

NCSBT Workers’ Compensation Fund

LOSS PREVENTION WORKSHOP

Mark your calendar now to take advantage of this members-only, 1.5-day workshop hosted on March 9 and 10, 2017 at the NCSBA offices!  These specialized training sessions will enhance your district’s loss control efforts and assist your district in complying with its state-mandated loss prevention policies.

Topics will include:

  • Workers’ compensation basics
  • Distracted driving
  • Slips, trips, and falls
  • Online resource tools
  • Legal updates, and more!

Stay tuned for a tentative agenda and for registration information!

Questions?  Contact David Byrd at dbyrd@ncsba.org or (919) 747-6683.

Automobile/Inland Marine Fund

The following forms should be used to notify NCSBT of automobile accidents or losses, inland marine losses, or vehicle schedule changes.

Automobile Loss Notice Form:  This form must be completed and submitted to NCSBT promptly following an automobile accident or loss, along with a written statement from the driver of the member vehicle describing the accident or loss and a copy of the police report and any complaint, petition or other pleading filed in court as a result of the accident or loss.

Vehicle Change Request Form:  This form must be completed to make an addition, deletion, or change to your vehicle schedule.

Inland Marine Loss Notice Form:  This form must be completed and submitted to NCSBT promptly, or in any event within fifteen (15) days of discovery of the loss.  Please also attach a copy of any incident report prepared, and a copy of the receipt, purchase order, or invoice for the covered property.

Inland Marine Change Request Form:  This form must be completed to make additions or deletions to your scheduled inland marine equipment as set forth on the form.

Errors & Omissions/General Liability Fund–Drone Liability Coverage

The following form should be used to create or modify a member’s drone schedule on file with NCSBT.

Drone Liability Schedule Change Request

Errors & Omissions/General Liability Fund—Medical Payments Coverage

The following forms should be used when filing a claim or submitting information related to a claim under NCSBT’s no-fault medical expense coverage.

Medical Expense Certificate:  The Medical Expense Certificate, along with all requested documentation, must be completed and submitted within one year of an accidental injury.

Supplement to Medical Expense Certificate:  The Supplement to the Medical Expense Certificate, along with all requested documentation, may be completed and submitted within fourteen (14) months of an accidental injury.  It should only be used to supplement a previously completed Medical Expense Certificate that was submitted within within one year of an accidental injury.

Risk Management
 
Tanya Giovanni Staff Attorney tgiovanni@ncsba.org 919.747.6701
Donna Lynch Litigation Counsel dlynch@ncsba.org 919.747.6685
David Byrd Claims and Risk Services Consultant dbyrd@ncsba.org 919.747.6683
David Palo Data Analyst dpalo@ncsba.org 919.747.6687
Carlisha Parker Claims Adjuster cparker@ncsba.org 919.747.6682
Melody Coons Litigation Assistant mcoons@ncsba.org 919.747.6684
Lee Adams Claims Assistant ladams@ncsba.org 919.747.6707
Helen Gelb Claims Assistant hgelb@ncsba.org 919.747.6712