An official website of the State of North Carolina An official website of NC

State Government websites value user privacy. To learn more, view our full privacy policy.

Secure websites use HTTPS certificates. A lock icon or https:// means you’ve safely connected to the official website.

Utility Menu

Main menu

Utility Menu

NCFlex FSA Mobile App

PDF • 435.73 KB - March 25, 2026

Dependent Day Care, Claim Forms

Document Entity Terms

Last Updated

January 4, 2024

Mailing Address: MSC 1331, Raleigh, NC 27699-1331
Phone Number: 984-236-0800

This form can be used when members of the public seek information under the Public Records Act.