Online payment and access to application


Basic Information
Application Type:
OT
Last Name:
First Name:
Middle Name:
Social Security Number (last 4 digits):
Email:
Name as you wish it to appear on your license:
If you have ever been licensed in NC before, please list your previous license number:
Date of Birth:
Gender:
Are you a citizen of the United States:
Mailing Address
Address:
City:
State:
Zip:
County:
 
Home Phone:
Cell Phone:


Physical Address
150 Fayetteville Street,
Suite 1910
Raleigh, NC 27601
phone

Office 919-832-1380