Nc quick pass dispute 2026

1. Click ‘Get Form’ to open the nc quick pass dispute form in the editor.
2. In Part I, enter your customer information as it appears on your statement or invoice. Fill in your last name, first name, street address, city, state, and zip code.
3. Provide the date of your statement or invoice in the designated field under Statement/Invoice Information.
4. Indicate the total number of disputed toll transactions and the total disputed toll amount. Select a reason for your toll dispute by checking only one option provided.
5. If applicable, complete Part II for the Affidavit of Non-Liability. Check the appropriate reason and provide supporting documentation as required.
6. Sign and date the form at the bottom of Part I and ensure all information is accurate before submission.

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