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Click ‘Get Form’ to open the Nebraska Reinstatement License application in the editor.
Begin with SECTION A – PERSONAL INFORMATION. Fill in your legal name, any other names known as, mailing address, phone number, and email address. Ensure all information is accurate.
In SECTION B – LICENSURE INFORMATION, answer whether you hold credentials in another jurisdiction and provide details if applicable. If there have been any disciplinary actions against your credentials, include that information as well.
Proceed to SECTION C – CONTINUING COMPETENCY. Indicate if you have met the continuing competency requirements by checking 'Yes' or 'No'. If applying for a waiver due to military service or initial licensing, check the appropriate box.
Answer all questions in SECTION D regarding any disciplinary actions or health conditions that may affect your practice. Provide explanations for any 'Yes' answers.
Complete the ATTESTATION section at the end of the form by confirming your lawful presence in the U.S. and signing where indicated.
Start filling out your Nebraska Reinstatement License application online for free today!
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