Documents

Click the links below or search by form number located at the bottom of your letter
Title Unit Letter / Form Number
Non Charging Allowance Base on Separations - English 08 UI Claims Form ID 169, Form Number NCUI 554R
Clerk of Court Restitution Overage - English 09 Benefits Integrity Form ID 170, Form Number NC BI 10
Abeyance Letter - English 09 Benefits Integrity Form ID 171, Form Number NC BI 100
Waiver - English 09 Benefits Integrity Form ID 172, Form Number NC BI 102
Garnishment - English 09 Benefits Integrity Form ID 173, Form Number NC BI 11
Request Reissue of Check - Claimant Deceased - English 09 Benefits Integrity Form ID 174, Form Number NC BI 12
OOS Refund - English 09 Benefits Integrity Form ID 175, Form Number NC BI 13
Pre Certification Letter - English 09 Benefits Integrity Form ID 176, Form Number NC BI 14
Request for re-evaluation Denial (UCTOP) - English 09 Benefits Integrity Form ID 177, Form Number NC BI 16
Balance Inquiry - English Form ID 178, Form Number NC BI 17
Payments made for Calendar Year - English 09 Benefits Integrity Form ID 179, Form Number NC BI 18
IPA Non-Compliant - English 09 Benefits Integrity Form ID 180, Form Number NC BI 19
Request for DOR Appeal Denial - English 09 Benefits Integrity Form ID 181, Form Number NC BI 2
Court Zero Balance - English 09 Benefits Integrity Form ID 182, Form Number NC BI 20
Paid in Full Notice - English 09 Benefits Integrity Form ID 183, Form Number NC BI 21
Fraud Demand for Payment - English 09 Benefits Integrity Form ID 184, Form Number NC BI 23
Non-Fraud Demand for Payment - English 09 Benefits Integrity Form ID 185, Form Number NC BI 24
Clerk of Court Restitution Status - English 09 Benefits Integrity Form ID 186, Form Number NC BI 25
Monthly Billing Statement 1st level - English 09 Benefits Integrity Form ID 187, Form Number NC BI 26
Monthly Billing Statement 2nd level - English 09 Benefits Integrity Form ID 188, Form Number NC BI 27