How to Apply for Individual/Group PEO

Professional Employer Organization License Application Instructions


  • 1


    The application must be completed in its entirety. All questions must be answered and required items submitted. If an answer is "no", "none", or "not applicable", so state. No application will be considered completed until all requested information is received. 

  • 2

    What To Use

    The application must be either typed or written in ink.

  • 3

    Submit Additional Information

    Additional pages should be submitted indicating the specific items for which the additional information is being provided if extra space is required to respond to any of the items in the application.

  • 4


    The payment of the application fee must be mailed at the time the application is submitted.

  • 5


    The surety bond, letter of credit, or cash deposit required pursuant to N.C.G.S. § 58-89A-50 must be submitted with the application.

  • 6

    Submit To

    The completed application should be submitted to:

  • 7


    A license, if issued, will be in the name of the Applicant.

  • 8


    Please contact the Financial Analysis and Receivership Division of the North Carolina Department of Insurance, Special Entities Section via email to or via phone to 919-807-6612 if you have any questions.

  • 9

    Before You Submit

    Please call Christine Williams at 919-807-6612 prior to submitting the application.