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 86 State Forms found

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AGREEMENT FOR THE SELECTION OF A VOCATIONAL REHABILITATION COUNSELOR (Spanish)

 VR-42C (Spanish) 7/23

Supportive Services Employee Student Information and Instructions (Spanish)

 VR-44SI(C) Revisado de 07/2023

NOTICE OF APPEAL

 No Form Number Revised February 2025

AFFIDAVIT AND APPLICAITON TO PROCEED WITHOUT PAYMENT OF COSTS

 No Form Number Revised February 2025

United States Citizenship Attestation Form

 No Form Number No Form/Rev Date

United States Citizenship Attestation Form (Spanish)

 No Form Number No Form/Rev Date

Case Closure Report-No Plan Proposed - ONLINE SUBMISSION

 VR-37E1 6/16

Case Closure Report- Plan or Plans Proposed - ONLINE SUBMISSION

 VR-37E2 6/16

Plan Closure Report - ONLINE SUBMISSION

 VR-37E3 6/16

Follow-Up Employment Status Report - ONLINE SUBMISSION

 VR-37E4 2/2019

Schedule for Fees for Medical Services 2017

 No Form Number Effective January 1, 2017

Flowchart: Which Fee Schedule Applies? (Effective for services provided on and after January 1, 2019)

 No Form Number No Form/Rev Date

FORMAL TRAINING – MILEAGE REIMBURSEMENT REQUEST (To Report Travel On and After 01/01/2017)

 No Form Number 12.16.2016

FORMAL TRAINING – MILEAGE REIMBURSEMENT REQUEST (To Report Travel On and After 01/01/2016)

 No Form Number 12/22/2015

ANSWER TO PETITION

 No Form Number Revised February 2025
Disclaimer: These forms may not be the most recent version. Nebraska may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on this site. Please check official sources.
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