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NC-4 Form

Employee's Withholding Allowance Form (state).  This form requires an original signature. The NC-4 Form should be sent to the Payroll Office at 705 Broad Street, Box 90484.

Note: Income received from the Duke disability plan is taxable for state taxes.

Form Name	Format
NC-4 Form	PDF

* Some Duke HR forms may require you to list your Duke Unique ID.  If you do not know or are unsure of your Duke Unique ID, you can look it up here. ** Some forms available on this web site are in Adobe Portable Document Format (PDF).  You will need Adobe Acrobat Reader to view and print these forms.

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