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    Law Enforcement Investigation Form

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    Helpin Hand
    This document provides instructions for law enforcement agencies to report notary misconduct investigations to the North Carolina Department of the Secretary of State. It includes a form for agencies to submit with details about the notary being investigated, the alleged violation, and documents related to the case. Agencies are asked to share their incident reports and complete investigation materials to help the Department administer any necessary administrative sanctions against notaries found to have violated state laws and regulations.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Law Enforcement Investigation Form

    Uploaded by

    Helpin Hand
    80 views2 pages
    This document provides instructions for law enforcement agencies to report notary misconduct investigations to the North Carolina Department of the Secretary of State. It includes a form for agencies to submit with details about the notary being investigated, the alleged violation, and documents related to the case. Agencies are asked to share their incident reports and complete investigation materials to help the Department administer any necessary administrative sanctions against notaries found to have violated state laws and regulations.

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    NORTH CAROLINA

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    This document provides instructions for law enforcement agencies to report notary misconduct investigations to the North Carolina Department of the Secretary of State. It includes a form for agencies to submit with details about the notary being investigated, the alleged violation, and documents related to the case. Agencies are asked to share their incident reports and complete investigation materials to help the Department administer any necessary administrative sanctions against notaries found to have violated state laws and regulations.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    80 views2 pages

    Law Enforcement Investigation Form

    Uploaded by

    Helpin Hand
    This document provides instructions for law enforcement agencies to report notary misconduct investigations to the North Carolina Department of the Secretary of State. It includes a form for agencies to submit with details about the notary being investigated, the alleged violation, and documents related to the case. Agencies are asked to share their incident reports and complete investigation materials to help the Department administer any necessary administrative sanctions against notaries found to have violated state laws and regulations.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    You are on page 1of 2

    STATE OF NORTH CAROLINA

    DEPARTMENT OF THE SECRETARY OF STATE


    Certification and Filing Division
    Office of Notary Investigations and Enforcement
    P.O. BOX 29626
    RALEIGH, NC 27626-0626
    PHONE: 919-814-5400 FAX: 919-807-2210
    ELAINE F. MARSHALL Website Address: WWW.SOSNC.GOV
    SECRETARY OF STATE E-mail: notaryenforcement@sosnc.gov

    Notice of Notary investigation FORM


    FOR LAW ENFORCEMENT AGENCY USE ONLY
    The Department of the Secretary of State has the authority to investigate complaints of allegations or appearances of
    violations of Chapter 10B of the North Carolina General Statutes, any rule adopted or any order issued pursuant to this
    Chapter.

    INSTRUCTIONS
    Any Law Enforcement Agency conducting an investigation involving alleged violations of the Notary Act is requested to complete and
    submit the following complaint form to the Notary Enforcement Section of the Department of the Secretary of State.
    Special Note: In addition to filing this complaint form, Law Enforcement Agents and Officers of departments with general subject
    matter jurisdiction or with jurisdiction resulting from related violations of other General Statutes are encouraged to complete the
    investigation and pursue charges of Chapter 10B. Special Agents and/or other personnel from the Notary Enforcement Section are
    available to provide information (i.e., notary address, phone, work place, commission dates, etc.) and/or technical assistance as needed
    and will administer administrative sanctions against the notary as needed as a result of another agency’s investigation.

    Please submit copies of the Incident Report and any documents or other related materials along with this form.

    Upon conclusion of the investigation please forward to the Notary Enforcement Section copies of statements obtained from notaries,
    copies of warrants, court dispositions and depositions or other court records, and any other information resulting from your agency’s
    investigation.

    AGENCY & INVESTIGATOR/OFFICER INFORMATION

    AGENCY NAME:
    ADDRESS:
    CITY: STATE: ZIP:
    BUSINESS PHONE: ( ) FAX NUMBER: ( )
    LEO/INVESTIGATOR:
    OFFICE PHONE: ( ) EXT: CELL PHONE: ( )
    E-MAIL:

    NOTARY INFORMATION
    Please complete as much information about the notary as possible
    NAME OF NOTARY: DOB: / /
    ADDRESS: SSN: - -
    CITY: STATE: ZIP: COUNTY:
    EMPLOYER:
    ADDRESS:
    CITY: STATE: ZIP:
    PHONE: ( ) FAX NUMBER: ( )
    CELL PHONE: ( ) E-MAIL:

    HAS AN INCIDENT REPORT BEEN COMPLETED? YES NO


    If YES, please attach a copy. If NO, please see remarks below.

    ARE YOU CURRENTLY INVESTIGATING THIS CASE? YES NO

    Page 1 of 2
    IF YOU ARE NOT CURRENTLY INVESTIGATING, DOES YOUR AGENCY PLAN TO INVESTIGATE THE CASE?
    YES NO N/A

    DO YOU NEED ASSISTANCE FROM A SPECIAL AGENT FROM OUR DEPARTMENT?


    YES NO

    If no Incident Report will be sent please provide information concerning the victim in one of the spaces below.

    BRIEFLY DESCRIBE THE COMPLAINT AND/OR VIOLATION:

    OTHER COMMENTS OR INFORMATION:

    SIGNATURE DATE

    PLEASE FORWARD COMPLETED FORM AND ALL DOCUMENTATION TO:

    N. C. DEPARTMENT OF THE SECRETARY OF STATE


    NOTARY ENFORCEMENT SECTION
    PO BOX 29626
    RALEIGH, NC 27626-0626
    FAX: 919-807-2210

    Page 2 of 2

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