Important: This form may be filled out online and then printed or printed and filled out by hand. Either method requires a copy be mailed to the address at the
bottom of this form.
Tip and Complaint Form
North Carolina Secretary of State
This form is provided as a general tip and complaint form for reports regarding business entities or individuals that are either improperly
filing documents with the agency or whose misconduct is subject to regulation by the agency. This form may also be utilized to notify
the agency of misuse or intentional damage to the property of the agency, especially including matters involving filed document(s) and/
or database integrity. For a more specific form, please visit our home page at www.sos.nc.gov and click on the specific division with
which you are filling the tip and complaint.
First Name
Last Name
Street Address
Apt. #
Filer Information
City
State Zip Code
Person(s) or Organization(s) About Whom Tip and Complaint Is Provided
Email
Daytime Phone Number (include area code)
Evening Phone Number (include area code)
Position(s) of person(s) (if applicable)
Organization(s)
Name(s)
Describe Your Tip and Complaint (if necessary, attach additional sheets)
Date of Event
