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Nebraska Forms

86 State Forms found

name	number	revision	print or send online
RELEASE OF LIABILITY PURSUANT TO NEB. REV. STAT. 48-139	No Form Number	Revised February 2025
REQUEST FOR CHANGE OF VOCATIONAL REHABILITATION COUNSELOR - ONLINE SUBMISSION	VR-43	No Form/Rev Date
REQUEST FOR INDEPENDENT MEDICAL EXAMINER	NWCC Form 63-1	(Rev. 7/23)
Nebraska Workers’ Compensation	No Form Number	Revised July 2023
Nebraska Workers’ Compensation (Spanish)	No Form Number	Revisado en julio de 2023
Rules of Procedure	No Form Number	REVISED JANUARY 2024
Supportive Services Employee Student Information and Instructions	VR-44SI(C)	Revised 07/2023
JOB PLACEMENT INFORMATION & INSTRUCTIONS	VR-44SI(B)	Revised 07/2023
SUPPLEMENTAL BILLING REQUEST	VR-44S	6/15
Return-to-Work Services	No Form Number	Revised July 2023
Return-to-Work Services (Spanish)	No Form Number	Revisado en julio de 2023
VOCATIONAL REHABILITATION COUNSELOR DESIGNATION FOR INITIAL AND FURTHER SERVICES - ONLINE SUBMISSION	VR-42	5/19
NOTICE OF EMPLOYEE'S RIGHT TO CHOOSE A DOCTOR	NWCC Form 50	Revised 04/2023
VOCATIONAL REHABILITATION COUNSELOR APPOINTMENT REQUEST - ONLINE SUBMISSION	VR-42B	8/18
VOCATIONAL REHABILITATION PLAN	VR-44	Revised November 2024

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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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