North Carolina Department of Transportation (NCDOT)

Forms
MetLife Critical Illness Insurance Beneficiary Designation Form
FSA Letter of Medical Necessity Form
Exam Registration Form
I-9 Form Instructions for Employers
Metropolitan Life Critical Illness Insurance Claim Form
Flexible Spending Account Claim Form
NCFLEX Family/Employment Status Change Form
Life Insurance Conversion Request Form
FSA Letter of Medical Necessity Form
USCIS Form I-9 Employment Eligibility Verification
North Carolina Back Pay Statement Form PD-14
Policyholder’s Change and Service Request
I-9 Form Employee Verification
Member Dental Claim Form
USCIS Form I-9 Employment Eligibility Verification
Member Reimbursement Claim Form
Credentials Verification Form
Waiver of Premium Disability Claim Form
Form W-4 (2012)
North Carolina State Service Verification Form
Life Insurance Conversion Request Form
Assignment of Cancer Wellness Benefits and HIPAA Release Form
Critical Illness Insurance Death Benefit Claim Form
Beneficiary Designation Form
NC FLEX Wellness Claim Form
North Carolina Tax Exemption Certificates
North Carolina State Service Credit Form
NC FLEX - 83126 Claim Form
USCIS Form I-9 Employment Eligibility Verification
Term Life Coverage Continuation Request
ReliaStar Life Insurance Conversion Request Form
Temporary Employee Evaluation Form
North Carolina Direct Deposit Enrollment Form
Cancer Wellness Benefits Assignment Form
MetLife Critical Illness Continuation Insurance Form
North Carolina Retirement System Enrollment Form
Life Insurance Conversion Request Form
US I-9 Form Instructions for Employers
Imputed Income for Term Life Insurance