(click on links to forms below to view or download)
Please print instructions for any of the applications below prior to downloading.
NOTE: If your application does not have a printer icon , hold down Ctrl + P to print.
Please print instructions before beginning download
If you have trouble exporting your data file from the free RunTime version, please contact Susan Sibbett at 919.855.3680
Please print instructions before submitting your cost report.
If your facility:
You should submit an Exemption Form. DO NOT complete a Cost Report. Exemptions are due December 31, 2015.
Contact the people below if you have questions/problems:
|Raleigh||Susan Kesler Sibbett||919-855-3680||Susan.Sibbett@dhhs.nc.gov|
Other Sites of Interest: