| West Fork Deep River | rises in W central Guilford County and flows SE into High Point Lake, where it joins East Fork Deep River. |
| West Fork French Broad River | rises in W Transylvania County and flows SE to join North Fork French Broad River in forming French Broad River. |
| West Fork Little River | rises in S Randolph County and flows SE into Montgomery County, where it enters Little River. |
| West Fork of Ivy Township | former township in E Madison County, now township no. 5. |
| West Fork Overflow Creek | rises in S Macon County and flows SE to join East Fork Overflow Creek in forming Overflow Creek. |
| West Fork Pigeon River | rises in S Haywood County near the Jackson-Transylvania county line and flows NE to join East Fork Pigeon River in forming Pigeon River. Known by the Cherokee Indians as Neeoh-la, the name that they applied to the main river formed by the junction of East and West Forks Pigeon River. |
| West Fork Rocky River | rises in S Iredell County and flows SE into Mecklenburg County, where it enters Rocky River on the MecklenburgCabarrus county line. |
| West Fork Sandy Branch | rises in S Stokes County and flows S into Sandy Branch. |
| West Fork Shut-in Creek | rises in W Madison County and flows NE to join East Fork Shut-in Creek in forming Shut-in Creek. |
| West Fork Tuckasegee River | rises in W Jackson County at N end of Thorpe Lake and flows NE to enter Tuckasegee River approx. 8 mi. away at the community of Tuckasegee. |