Skip to form

Lee County NC Environmental Health

environmentalhealth@leecountync.gov

115 Chatham Street Sanford NC 27330

919.718.4641

SeamlessDocs

I.N.Will Update Upon Signing
02/22/2024
Signature HereClick to Sign
02/22/2024Click to Sign

Create Your Signature

Please fill in your name and email and then either draw or type your signature below.

x

Signature Type

Type Draw Upload Custom
Clear Signature

Signature will be applied to the page. You will have a chance to review after signing.

Check this box to continue

x

Additional Signatures Required

IRS Non Profit Verificaiton Click Here to Upload
Non Profit Letterhead with items from Section B Click Here to Upload