Professional Employer Organizations - Forms

Forms

• Form 01-132-15 Authority For Release Of Information
• PEO-01 Application
• PEO-02 Biographical Affidavit
• PEO-03 Unconditional Cross Guaranty
• PEO-04 Power Of Attorney (Service Of Legal Process)
• PEO-05 Obligations Attestation
• PEO-06 CEO and CFO Fin Stmt Attest
• PEO-07 Power of Attorney
• PEO-08 Surety Bond
• PEO-08a Surety Bond Endorsement (Name Chg)
• PEO-08b Surety Bond Endorsement (Amount Chg)
• PEO-09 Irrevocable Letter of Credit
• PEO-10 Notification of Change
• PEO-10a Notification of Change - De Minimis Registration
• PEO-13 Notification of Change in WC Ins or HB Plan
• PEO-14 Unconditional Guaranty Agreement
• PEO-15 Fingerprint Instructions
• PEO-16 Corporate Resolution of Guarantor
• PEO-17 Workers' Comp Attest
• PEO-18 De Minimis Registration Notification
• PEO-19 De Minimis Registration Annual Notice
• PEO-22 Parental Guaranty for PEO

Questions

If you have any questions please contact Christine Williams at 919-807-6612 (Christine.Williams@ncdoi.gov).