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Labor & Employment for Nebraska

  • Choosing A Doctor For A Work-related Injury (11/99)
    File .pdf (104.4 Kbytes)
  • Choosing A Doctor For A Work-related Injury - Spanish (11/99)
    File .pdf (117.9 Kbytes)
  • Contractor Registration Application
    File .pdf (324.8 Kbytes)
  • Corporate Application For Registration Of Trade Name
    File .pdf (193.1 Kbytes)
  • Employment Certificate For Minors 14 & 15 Years Old
    File .pdf (171.9 Kbytes)
  • Employment Dispute Resolution Checklist
    File .pdf (8 Kbytes)
  • Form 1 - First Report Of Alleged Occupational Injury Or Illness (12/00)
    File .pdf (220.1 Kbytes)
  • Form 1 Application For An Unemployment Insurance Account Number
    File .pdf (88.5 Kbytes)
  • Form 10t - Termination Of Corporate Executive Officer Waiver (12/96)
    File .pdf (105.5 Kbytes)
  • Form 110 - Notice - Hours Of Employment For Children Under Sixteen Years Of Age
    File .pdf (91.1 Kbytes)
  • Form 12 - Record Of Compensation Insurance (6/95)
    File .pdf (28.4 Kbytes)
  • Form 4 - Subsequent Report (12/00) Effective July 1, 2001
    File .pdf (217.4 Kbytes)
  • Form 50 - Choice Of Doctor (1/97)
    File .pdf (40.9 Kbytes)
  • Form 50 - Choice Of Doctor - Spanish (1/97)
    File .pdf (25.6 Kbytes)
  • Form 63-1 - Request For Independent Medical Examiner (7/97)
    File .pdf (51.3 Kbytes)
  • Form 67-2 - Notice Of Agreement To Use A Named Independent Medical Examiner (7/97)
    File .pdf (214.1 Kbytes)
  • Grant Application
    File .pdf (1.1 Mbytes)
  • Informal Dispute Resolution & Mediation (1/00)
    File .pdf (124 Kbytes)
  • Magnetic Tape Reporting
    File .pdf (95.1 Kbytes)
  • Nebraska Tax Application For Employers
    File .pdf (96 Kbytes)
  • New Hire Reporting Guide
    File .pdf (210.1 Kbytes)
  • Notice Of Change Form
    File .pdf (455.9 Kbytes)
  • Order Form (current)
    File .pdf (19.7 Kbytes)
  • Program Integrity
    File .pdf (65.2 Kbytes)
  • Rights & Obligations Of Employers/employees (10/03)
    File .pdf (155.4 Kbytes)
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