Follow the steps to complete your toll dispute request.

1. Press the ‘Get Form’ button to access the NC Quick Pass Toll Dispute: Informal Review Request form and display it in an editable format.
2. Fill out Part I of the form labeled 'Request for Informal Review' by providing your customer information as it appears on your statement or invoice. This includes entering your last name, first name, street address, city, state, and zip code.
3. In the 'Statement/Invoice Information' section, enter the date on your statement or invoice to maintain accurate records.
4. Complete the 'Disputed Toll Transactions' section. Specify the total number of disputed toll transactions and the total disputed toll amount. Select one reason for your toll dispute from the given options, such as 'Over charged,' 'Duplicate charge,' or 'License plate image issues.'
5. If your vehicle was in the custody of another person when the toll was incurred, check the applicable reason and complete Part II by filling out the 'Affidavit of Non-Liability.' This part requires notarization.
6. In Part II, specify the reason for your sworn affidavit of non-liability and provide the necessary documents as proof, such as a copy of a police report if the vehicle was stolen.
7. Sign and date the form in the designated area to verify that the information provided is accurate to the best of your knowledge.
8. Ensure that any additional explanations regarding your circumstances are included if necessary. You may attach extra pages as needed.
9. After completing the form, save any changes, download a copy, and print it for your records.
10. Finally, submit the completed form along with any accompanying documents via mail or fax to the NC Quick Pass Customer Service Center.

Take action now by completing the NC Quick Pass Toll Dispute: Informal Review Request online and ensure your toll reviews are handled efficiently.