Request For Release Of Information Form - Nc Department Of Commerce printable pdf download

Request For Release Of Information Form - Nc Department Of Commerce

Release of information requests must be made to the DES Legal Services Section. All requests must be

in writing. Written requests for release of information may be submitted by U.S. mail, email, or facsimile

to:

Mail:

NCDC/DES

Attn: Legal Services Section

Post Office Box 25903

Raleigh, NC 27611-5903

Email:

Fax:

(919) 715-7194

Written requests must clearly specify the information that is being requested (i.e., UI information, wage

information, completion of forms, etc.). The request must also contain the reason that the information is

being requested and the purpose for which the information, if released, will be used.

Certain DES information requires a minimum $15.00 search fee and/or authorization. DES is authorized to

charge for certain services pursuant to the Employment Security Law found in Chapter 96 of the North

Carolina General Statutes and Title 4, Subchapter 24E of the North Carolina Administrative Code. In order

to determine whether a fee applies, or whether the law allows release of the information requested, the

specific information being requested must be clear in the written request.

The Legal Services Section will handle all responses to requests for release of information, including

requesting additional information from the person making the request for the information. DES will not

send information or documents to a third party unless the request complies with the applicable law,

and DES will not provide information or documents by email. Any person sending a subpoena to DES

must send the subpoena to the Legal Services Section of DES.

All requests must contain the:

• complete name of person making the request;

• complete address of person making the request;

• last four digits of the social security number for the records requested (complete SSN is

required for W6 requests) For security purposes, requests for W6s cannot be sent via

email or fax;

• date of birth; and

• written instructions and fax number if DES’s response or information is to be sent by fax

(otherwise response will be mailed to requesting person’s address).

For additional information or questions, please call Betty Ann Boyd at (919) 707-1025.

Request For Release Of Information Form - Nc Department Of Commerce