Nebraska Department of Insurance Forms

This Form is used for submitting complaints or inquiries regarding pre-need funeral services in the state of Nebraska.

This Form is used for renewing an Insurance Producer License in Nebraska. It allows insurance producers to continue their professional practice in the state.

This form is used for applying for a certificate to transact business as an Independent Review Organization (IRO) in Nebraska.

This form is used for applying for a business entity license or registration in Nebraska.

This Form is used for applying for an Insurance Consultant License in Nebraska.

This Form is used for applying for a Viatical Settlement Broker Individual License in Nebraska for individuals who are not already licensed as life insurance agents.

This form is used for disclosing financial information for individuals residing in Nebraska. It is required to provide a transparent view of an individual's financial assets and liabilities.

This Form is used for producers in Nebraska to report their annual activities and control measures. It provides a comprehensive overview of their operations and helps ensure compliance with regulations.

This form is used for reporting insurance company fraud in the state of Nebraska.

This form is used for securing title insurance by escrow agents in Nebraska. It serves as a bond to protect the interests of parties involved in real estate transactions.

This type of document provides comprehensive health insurance coverage for residents of Nebraska who have pre-existing medical conditions and are unable to obtain coverage through private insurance companies.

This document is used for collecting signatures in the state of Nebraska. It is typically used to show agreement or acknowledgement of certain terms or conditions.

This Form is used for renewing an insurance license in the state of Nebraska.

This document is used to apply for a certificate to transact business as a Utilization Review Agent in the state of Nebraska.

This Form is used for making appointments and terminations in the state of Nebraska.

This document is the application form for individuals who want to obtain a producer license or registration in Nebraska. It is used by residents of Nebraska who wish to become insurance producers.

This document is used for non-resident individuals who want to apply for a producer license or registration in Nebraska.

This form is used for corporations or partnerships in Nebraska to apply for an insurance consultant's license.

This form is used for applying for an insurance consultant license in Nebraska.

This form is used for applying for a Managing General Agent license in the state of Nebraska. It is necessary for individuals or businesses that wish to act as a managing general agent for insurance companies in the state.

This Form is used for applying for a limited lines insurance agency license to operate a self-storage facility in Nebraska.

This Form is used for applying for a certificate to transact business as a Utilization Review Agent in the state of Nebraska.