NCDES Constituent Services Form

Submitted by larry.parker on

Thank you for contacting the North Carolina Division of Employment Security. Please complete the form below to request assistance for a constituent.

This form is intended for use by elected officials and constituent services staff.

Please enter your (the requestor's) contact information below so DES can follow up with your office on this request. Do not enter the claimant's information on this page.

  • Current NCDES Constituent Services Form
  • Claimant Information
  • Complete
Indicates required field
Name
Requestor's Office
NC House of Representatives
Council of State
This question is for testing whether or not you are a human