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Please fill out the following information thoroughly.

Please fill out the following information thoroughly.

PCFFC Action Circles are topic specific groups that will work with community members and organizations to take action on the goals and... More… PCFFC Action Circles are topic specific groups that will work with community members and organizations to take action on the goals and priorities of the PCFFC. They will also work to research, develop and recommend policies or policy changes related to their topic to the PCFFC. Action Circles may be created and dissolved by PCFFC. Anybody who lives or works in Pitt County can join an action group at any time!Less…

This form allows you to contact various Pitt County departments directly. Pitt County welcomes all comments on matters of public... More… This form allows you to contact various Pitt County departments directly. Pitt County welcomes all comments on matters of public concern. Inappropriate content, including but not limited to profanity, personal attacks, scams, unsolicited advertisements or junk mail, will be disregarded. We do not accept emergency requests for services or reports of child or elder abuse through email. If you are in an emergency situation, please call 911 for assistance. If you need to report abuse, please call 252-902-1110 or 252-902-1111 and follow the prompts.Less…

This form allows you to contact the Public Information Office directly, for any questions or concerns you have related to Pitt County... More… This form allows you to contact the Public Information Office directly, for any questions or concerns you have related to Pitt County response efforts to the COVID-19 Outbreak. Pitt County welcomes all comments on matters of public concern. Inappropriate content, including but not limited to profanity, personal attacks, scams, unsolicited advertisements or junk mail, will be disregarded. We do not accept emergency requests for services or reports of child or elder abuse through email. If you are in an emergency situation, please call 911 for assistance.Less…

This form is intended for community groups who would like to host a COVID-19 vaccine clinic at their location.

The Telemedicine (Telehealth) Consent Form is used by patients who request to receive healthcare services from Pitt County Health... More… The Telemedicine (Telehealth) Consent Form is used by patients who request to receive healthcare services from Pitt County Health Department via telehealth / telemedicine (video or phone). The patient must sign this form to consent to receive services.Less…

This form serves as a application for high school and college students requesting internships and / or other contact hours at Pitt... More… This form serves as a application for high school and college students requesting internships and / or other contact hours at Pitt County Health Department to fulfill school credit. Applicants must be at least 16 years old.Less…

Please report missing or damaged road signs using this form.

This form allows you to anonymously report potential safety hazards throughout the facilities and grounds of Pitt County Government... More… This form allows you to anonymously report potential safety hazards throughout the facilities and grounds of Pitt County Government campuses. Less…

An email contact form that can be used by someone who does not have their own email account.

This form allows FNS clients to notify DSS of new addresses; phone numbers; changes in household income, expenses, and composition; and... More… This form allows FNS clients to notify DSS of new addresses; phone numbers; changes in household income, expenses, and composition; and prepare for recertifications.Less…

A form by which potential PITTworks clients can determine whether they are either: 1) eligible to participate as a way of preserving... More… A form by which potential PITTworks clients can determine whether they are either: 1) eligible to participate as a way of preserving their FNS benefits, or 2) eligible to participate without regard to their FNS benefits, or 3) ineligible.Less…

Citizens who wish to speak at a Social Services Board meeting during the Public Address section need to complete and email in this... More… Citizens who wish to speak at a Social Services Board meeting during the Public Address section need to complete and email in this form.Less…

Ag Center Conference Room Reservation Request Form Please fill out the form completely to reserve the Pitt County Ag Center conference... More… Ag Center Conference Room Reservation Request Form Please fill out the form completely to reserve the Pitt County Ag Center conference room. Please note: public WiFi is available at this facility.Less…

Online reporting form for illegal dumping activities within Pitt County.

Occupancy Tax Form

Pitt County's Whistleblower Policy was adopted by the County Commissioners to formalize a mechanism for reporting suspected fraud... More… Pitt County's Whistleblower Policy was adopted by the County Commissioners to formalize a mechanism for reporting suspected fraud related to the activities of Pitt County Government. Any person may report suspected fraud via this form or by written notice sent to the attention of the County Attorney. Reports may be made anonymously. However, if you wish to receive a response, please provide your name and a valid email address or phone number. Please report suspected abuse or neglect of a child or disabled adult directly to the Pitt County Department of Social Services by calling 252-902-1110 during business hours or 252-830-4141 when the office is closed. Also, reports of drug related or other criminal activity in the community, not involving Pitt County Government, should be reported directly to law enforcement. Pitt County welcomes all comments on matters of public concern. Inappropriate content, including but not limited to profanity or personal attacks, will be disregarded.Less…