|Sample Form(s) and Information Sheet(s)|
|Form No.||Form Description|
|Single Location [PDF]||Information Sheet|
|Multi-Location [PDF]||Information Sheet|
You may also receive one or more of the following supplemental forms:
|Form No||Form Description|
|NC-99513||Ownership or Control Form (single location companies only)|
These sample forms are for information purposes only and should not be used to report data.
If you need additional copies for reporting data, please request online (login required) or call 1-800-233-6136.