Nebraska Department of Health and Human Services Forms

This form is used for conducting a compliance review of school-age only centers in Nebraska. It includes a checklist and cover sheet for programs operating within a school setting. The form ensures that these centers meet the necessary regulations and licensing requirements.

This form is used to request a waiver of construction or physical plant requirements for licensed health facilities in Nebraska.

This Form is used for collecting information on the number of hospital beds in Nebraska.

This document is used to track and calculate the capacity of a facility in the state of Nebraska.

This type of document is an application for a license to operate a school age only center in Nebraska.

This document is for applying for a license to operate a family child care home in Nebraska.

This document is used to request a temporary and voluntary cease of operation in the state of Nebraska.

This form is used for the certification of architect/engineer plans in the state of Nebraska. It ensures that the plans comply with the necessary building codes and regulations to ensure a safe and structurally sound construction project.

This Form is used for conducting a qualitative respirator fit-test in Nebraska. It ensures that the respirator fits properly and provides adequate protection against airborne hazards.

This document is a checklist used by financial services professionals in Nebraska to request access to the N-Focus system. It ensures that all the necessary steps and requirements are met before access can be granted.

This document is a checklist for requesting N-Focus access to Public Health, Development Disabilities, and Operations in Nebraska. It provides step-by-step instructions and requirements for gaining access to these systems.

This form is used to apply for a loan for a group home in Nebraska that provides support for individuals recovering from substance abuse.

This Form is used for requesting access to protected health information on Therap in Nebraska.

This form is used for reporting the death of a provider in the state of Nebraska.

This form is used for reporting physical examinations conducted by the Nebraska Department of Health and Human Services (DHHS).

This Form is used for renewing the certification of an Advanced Practice Registered Nurse (APRN) who specializes in Certified Nurse Midwifery in the state of Nebraska.

This type of document is a Renewal Application for Advanced Practice Registered Nurse (APRN) with a specialization in Clinical Nurse Specialist in the state of Nebraska.

This document is used for the renewal application of an Advanced Practice Registered Nurse (APRN) certificate as a Certified Registered Nurse Anesthetist (CRNA) in the state of Nebraska.

This document is used for renewing the Advanced Practice Registered Nurse (APRN) license for Nurse Practitioners in Nebraska.

This Form is used for renewing the application of Independent Mental Health Practitioner or Mental Health Practitioner in the state of Nebraska.

This form is used for renewing the certification of Certified Master Social Workers or Certified Social Workers in Nebraska.

This document is a renewal notice for psychology licensure in the state of Nebraska. It is used to inform licensed psychologists about the upcoming expiration of their license and the requirements for renewal.

This form is used for renewing the license of Registered Nurses (RNs) in the state of Nebraska.

This document is a renewal notice for physicians and osteopathic physicians and surgeons in the state of Nebraska. It is used to remind them to renew their license to practice medicine in the state.

This document is used for renewing a pharmacy technician license in the state of Nebraska. It serves as a reminder to pharmacy technicians to renew their license in a timely manner.

This document is a notice for individuals in Nebraska to renew their respiratory care license. It reminds them of the expiration date and provides instructions on how to renew their license.

This document is used for collecting and organizing information about board members in Nebraska. It helps keep track of their contact details, roles, and other relevant information.

This Form is used for applying for child support services in the state of Nebraska. It allows individuals to request assistance in establishing or enforcing child support orders.

This form is used for requesting specific aggregate data in Nebraska.

This document is used by pharmacists in Nebraska to report information to the Nebraska Parkinson's Disease Registry.

This document is a request for data from the Nebraska Department of Health and Human Services. It is used to obtain information from the department regarding health and human services in Nebraska.

This Form is used for completing a latent tuberculosis checklist in the state of Nebraska. It helps identify individuals who may have latent tuberculosis and require further medical evaluation.

This form is used for enrolling pharmacies in Nebraska to provide services for individuals with latent tuberculosis.

This form is used for obtaining a license for operating an asbestos business entity in Nebraska.

This document is used to notify the Nebraska authorities about the demolition and renovation activities that may impact air quality. It ensures compliance with NESHAP requirements.

This form is used for applying for approval of an asbestos occupation course in Nebraska.

This Form is used for submitting notification of asbestos projects in Nebraska. It ensures compliance with the state's regulations on asbestos removal and disposal.

This form is used for applying for a waiver of license for business entities in Nebraska that are performing emergency asbestos projects.