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Forms

Document Name
Grievance Agreement Form
Grievant Mediation Questionnaire
Hazard Assessment Certification Form
I 9 Form
I 9 Instructions
Mediation Cover Sheet
Mediation Impasse Form
Mediation Memorandum of Agreement
Miles for Wellness Liability Acknowledgement Form
NC-4 Department of Revenue Employee's Withholding Allowance Certificate (2024)
NC-4EZ Department of Revenue Employee's Withholding Allowance Certificate
NEW NCID TS Timesheet Dynamic Unlocked FINAL
OSHR Incident Investigation Reporting Program
OSHR Wellness Liability Form
Payroll and Benefit Processing - Employee Profile Data Sheet
Post-Reduction in Force Adverse Impact Analysis Worksheet
Pre-Reduction in Force Adverse Impact Analysis Worksheet
Reduction in Force List Form
Reduction in Force Notification Checklist for Managers
Respondent Mediation Questionnaire

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Contact

Mailing Address: MSC 1331, Raleigh, NC 27699-1331
Physical Address: 333 Fayetteville Street, Raleigh, NC 27601
Phone Number: 984-236-0800

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Fraudulent activities should always be reported to your local law enforcement office. The following is additional information on how specific types of fraud complaints or cases of suspected fraud can be submitted to state agencies.

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