Forms

participation form

This important document lists important information such as your contact information that is used for our Interactive Voice Response (IVR) system that informs debtors who to contact at your site for information regarding debts you are submitting to the Clearinghouse.

This form is required to begin participating and each year after. The form covers the period of August through the following December. The next year's participation form becomes available just prior to the annual training workshops which occur in September. This allows for the submission of debts at the end of a calendar year and continue for the entire next year. Note: if a local government does not submit this form by December 20, their debts will not be sent to the Department of Revenue and Education Lottery until the form is submitted.

For the August 2009 through December 2010 form: 2010 Participation Form

After submitting, anytime during the year if there are any changes to contacts, emails or phone numbers, then re-submit the online form with just the changes, no need to sign and mail.

initial sign-up forms

All of these forms need to be sent to North Carolina League of Municipalities (cities and towns) or North Carolina Association of County Commissioners (counties and all others).

other forms and documents

Sample Notification Letters to Debtors

Data Submission Options