Click the links below or search by form number located at the bottom of your letter
| Title | Unit | Letter / Form Number |
|---|---|---|
| Monthly Billing Statement 2nd level - English | 09 Benefits Integrity | Form ID 188, Form Number NC BI 27 |
| Monthly Billing Statement 3rd level - English | Form ID 189, Form Number NC BI 28 | |
| Overpayment Demand Letter - English | 09 Benefits Integrity | Form ID 190, Form Number NC BI 29 |
| Requested Check Investigation - English | 09 Benefits Integrity | Form ID 191, Form Number NC BI 3 |
| State Employee OP 2- Missed Payment - English | 09 Benefits Integrity | Form ID 192, Form Number NC BI 34 |
| State Employee OP 3- Inform Employer - English | 09 Benefits Integrity | Form ID 193, Form Number NC BI 35 |
| State Employee OP 4- Termination Employee - English | 09 Benefits Integrity | Form ID 194, Form Number NC BI 36 |
| Employer Record Request - English | 09 Benefits Integrity | Form ID 195, Form Number NC BI 37 |
| Offset Receipt for Overpayment - English | 09 Benefits Integrity | Form ID 196, Form Number NC BI 39 |
| Returned Check - English | 09 Benefits Integrity | Form ID 197, Form Number NC BI 4 |
| Employment Verification Letter - English | 09 Benefits Integrity | Form ID 198, Form Number NC BI 40 |
| Check Reissued Claimant Cashed Original - English | 09 Benefits Integrity | Form ID 199, Form Number NC BI 42 |
| Notice to Debtor - English | 09 Benefits Integrity | Form ID 200, Form Number NC BI 5 |
| Amended Determination of Overpayment - English | 09 Benefits Integrity | Form ID 201, Form Number NC BI 514 |
| Claim Audit Determination - English | 09 Benefits Integrity | Form ID 202, Form Number NC BI 514-AD |
| Determination of Fraud Overpayment - English | 09 Benefits Integrity | Form ID 203, Form Number NC BI 514-FO |
| Determination of Non-Fraud Overpayment - English | 09 Benefits Integrity | Form ID 204, Form Number NC BI 514-NFO |
| Determination of Overpayment - English | 09 Benefits Integrity | Form ID 205, Form Number NC BI 514-DO |
| Irora Determination of Overpayment - English | 09 Benefits Integrity | Form ID 206, Form Number NC BI 514-IDO |
| Null and Void Determination - English | 09 Benefits Integrity | Form ID 207, Form Number NC BI 514C |