Request for Assistance

Submitted by dlfaison on Mon, 09/13/2021 - 14:58

You can use this web form to contact NCDOR if you did not receive a confirmation page after submitting a payment or filing, or if you encountered an error while using one of our File & Pay applications. Cancellations should be requested by contacting the Department at 877-308-9103. For additional information, please read our FAQs.

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First Name

Last Name

Business Name (if applicable)

This should be the legal name of the business.

Select Identification

Last Four Digits of SSN or FID

Payment Method

Last Four Digits of Bank Account or Credit/Debit Card Number

Draft Date

Payment Amount

Application Used

Select the application you were using when you received an error message.

Web Browser Used

Browser Version

The browser version is the numeric version of each program, such as Internet Explorer 8.0 and Firefox 3.5.

Error Message Received

Provide any relevant information here, such as error messages received, or any other details about your issue.

Contact Person First Name

Contact Person Last Name

Email Address

Contact Phone Number