§ 15C-4. Filing and certification of applications; authorization card.
§ 15C‑4. Filing andcertification of applications; authorization card.
(a) An individual whowants to participate in the Address Confidentiality Program shall file anapplication with the Attorney General with the assistance of an applicationassistant. Any of the following individuals may apply to the Attorney Generalto have an address designated by the Attorney General to serve as thesubstitute address of the individual:
(1) An adult individual.
(2) A parent or guardianacting on behalf of a minor when the minor resides with the individual.
(3) A guardian acting onbehalf of an incapacitated individual.
(b) The applicationshall be dated, signed, and verified by the applicant and shall be signed bythe application assistant who assisted in the preparation of the application.
(c) The applicationshall contain all of the following:
(1) A statement by theapplicant that the applicant is a victim of domestic violence, sexual offense,stalking, or human trafficking and that the applicant fears for the applicant'ssafety or the safety of the applicant's child.
(2) Evidence that theapplicant is a victim of domestic violence, sexual offense, stalking, or humantrafficking. This evidence may include any of the following:
a. Law enforcement,court, or other federal or state agency records or files.
b. Documentation from adomestic violence program if the applicant is alleged to be a victim ofdomestic violence.
c. Documentation from areligious, medical, or other professional from whom the applicant has soughtassistance in dealing with the alleged domestic violence, sexual offense, orstalking.
d. Documentationsubmitted to support a victim of human trafficking's application for federalassistance or benefits under federal human trafficking laws.
(3) A statement by theapplicant that disclosure of the applicant's address would endanger theapplicant's safety or the safety of the applicant's child.
(4) A statement by theapplicant that the applicant has or will confidentially relocate in NorthCarolina.
(5) A designation of theAttorney General as an agent for the applicant for purposes of service ofprocess and the receipt of first‑class mail or certified or registeredmail.
(6) The mailing addressand telephone number where the applicant can be contacted by the AttorneyGeneral.
(7) The address that theapplicant requests not to be disclosed by the Attorney General that directlyrelates to the increased risk of domestic violence, sexual offense, orstalking.
(8) A statement as towhether there is any existing court order or court action involving theapplicant related to divorce proceedings, child support, child custody, orchild visitation and the court that issued the order or has jurisdiction overthe action.
(9) A statement by theapplicant that to the best of the applicant's knowledge, the informationcontained in the application is true.
(10) A recommendation ofan application assistant that the applicant have an address designated by theAttorney General to serve as the substitute address of the applicant.
(d) Upon the filing ofa properly completed application, the Attorney General shall certify theapplicant as a program participant. Upon certification, the Attorney Generalshall issue an Address Confidentiality Program authorization card to theprogram participant. The Address Confidentiality Program authorization cardshall remain valid for so long as the program participant remains certifiedunder the Program.
(e) Applicants shall becertified for four years following the date of filing unless the certificationis withdrawn or canceled prior to the end of the four‑year period. Aprogram participant may withdraw the certification by filing a request forwithdrawal acknowledged before a notary with the Attorney General. Acertification may be renewed by filing an application containing theinformation required by G.S. 15C‑3 with the Attorney General at least 30days prior to expiration of the current certification. (2002‑171, s. 1; 2007‑547,s. 7.)