Nebraska Department of Children and Family Services 2025

1. Click ‘Get Form’ to open the Nebraska Department of Children and Family Services form in the editor.
2. Begin by filling out the Agency Information section. Enter the Agency Name, Site Name, Facility Number, Street Address, City, State, Zip Code, Telephone Number, Alternate Phone Number, ABC Coordinator Name, and ABC Coordinator Email.
3. Next, move to the Child Information section. Provide the Full Name and Date of Birth of the child. Indicate whether the child previously attended an ABC Program by selecting 'Yes' or 'No'. If applicable, list the name of the previous program.
4. In the Classroom Information section, input the Maximum Classroom Licensing Capacity and Current Classroom Enrollment Number. Specify the Beginning Date of Attendance and Date Child Enrolled in ABC Slot. Indicate if enrolling this foster child will exceed maximum classroom ratio.
5. For Local Program Use - Foster Care Verification, check all documentation received and ensure it is maintained on file at your ABC site. Remember not to submit verification documentation to DCCECE.
6. Finally, submit your waiver request electronically via email as specified in the instructions. Ensure you include all required documentation before sending.

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