Upon submission of this form, an email will be sent to the address provided above. The email will contain an attached PDF and a link to a PDF of the form you completed. Please print your form and return with payment.
Checks/money orders are made payable to NCBOESLPA, and should be mailed to:
PO Box 16885
Greensboro, NC 27416
The form and check/money order MUST come together. If a check/money order comes in without a form, or vice versa, it will be returned to the sender.
Nothing will not be issued until the remitted checks have cleared the bank. The only exceptions are those fees paid with money orders or certified checks.
If there are additional requirements needed for this verification that are not covered in this form please contact [email protected]