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Nebraska Forms

25 State Forms found

name	number	revision	print or send online
APPLICATION FOR AN ORDER APPROVING LUMP SUM SETTLEMENT	No Form Number	No Form/Rev Date
SUBSEQUENT REPORT - EDI SUBMISSION	NWCC Form 4	Revised 06/2006
AGREEMENT FOR THE SELECTION OF A VOCATIONAL REHABILITATION COUNSELOR	VR-42C	7/23
Informal Dispute Resolution & Mediation (Spanish)	No Form Number	Revisado en julio de 2023
Informal Dispute Resolution Request - ONLINE SUBMISSION	NWCC IDR	Revised 2017
MOTION TO CONTINUE TRIAL & ORDER OF CONTINUANCE	No Form Number	Revised February 2025
Addendum 3 - PERSONAL AND FINANCIAL ACCOUNT INFORMATION	No Form Number	Revised April 2023
PETITION & PERSONAL AND FINANCIAL ACCOUNT INFORMATION	No Form Number	Revised February 2025
REQUEST FOR BILL OF EXCEPTIONS	No Form Number	Revised February 2025
REQUEST FOR TRANSCRIPT	No Form Number	Revised February 2025
RELEASE OF LIABILITY PURSUANT TO NEB. REV. STAT. 48-139	No Form Number	Revised February 2025
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
FORMAL TRAINING – MILEAGE REIMBURSEMENT REQUEST (To Report Travel On and After 01/01/2017)	No Form Number	12.16.2016

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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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