North Carolina DOM-A12 In State Participant or Attorney-rev. Oct. 2014)-fillable) is a form used by North Carolina residents and attorneys to apply for in-state participation in the Department of Motor Vehicles (DMV) driver license program. It includes a set of questions related to the applicant's identity, residence, and legal status. This form is available in both English and Spanish, and can be filled out either online or on paper. There are two types of North Carolina DOM-A12 In State Participant or Attorney-rev. Oct. 2014)-fillable): one for individuals and one for attorneys. The individual form requires the applicant to provide information such as their full name, address, date of birth, driver license number, Social Security number, and contact information. The attorney form requires the name and contact information of the attorney as well as the applicant's full name, address, date of birth, driver license number, and Social Security number.