If you are eligible to renew your provisional license (renewed three times, and submitting a provisional extension request), you must submit a complete Provisional License Extension Request with your complete renewal packet to be considered for an extension. On the renewal application simply indicate that “yes” you need to submit a provisional extension request and complete this section of the application.
Provisional Extension Request Checklist
21 NCAC 25 .0205 RENEWAL OF A PROVISIONAL LICENSE (f)
(f) The Board shall not for any reason renew or extend a provisional license for a fifth time, with the exception of servicemembers who qualify for an extension under Paragraph (h) of this Rule