(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
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, 2014.
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: