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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(3) LEAVING FUTURE MEDICAL LIABILITY OPEN	No Form Number	Revised February 2025
Schedule of Fees for Medical Services 2023	No Form Number	January 1, 2023
Annual Report 2022	No Form Number	July 1, 2021-June 30, 2022
Annual Report 2023	No Form Number	July 1, 2022-June 30, 2023
Schedule of Fees for Medical Services 2024	No Form Number	January 1, 2024
Flowchart: Which Fee Schedule Applies? (Effective for services provided prior to January 1, 2024)	No Form Number	No Form/Rev Date
Flowchart: Which Fee Schedule Applies? (Effective for services provided on and after January 1, 2024)	No Form Number	No Form/Rev Date
REGISTRATION OF EMAIL ADDRESS FOR SELF-REPRESENTED LITIGANT	No Form Number	Revised December 2023
PRO HAC VICE ATTORNEY REGISTRATION OF EMAIL ADDRESS	No Form Number	Revised December 2023
Annual Report 2024	No Form Number	July 1, 2023-June 30, 2024
ORDER APPROVING LUMP SUM SETTLEMENT	No Form Number	No Form/Rev Date

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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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