Application Information - Nebraska Department of Health 2025

1. Click ‘Get Form’ to open the Application Information - Nebraska Department of Health in the editor.
2. Begin by filling out your personal information in Section A, including your legal name, address, and social security number. Ensure all details are accurate.
3. In Section B, provide your educational background. List the names of schools attended and degrees conferred. Remember to submit official transcripts directly from your institution.
4. Proceed to Section C to indicate which certification examination you have taken. Attach official documentation of your scores as required.
5. Complete Section F regarding conviction and licensure information. Be thorough in disclosing any past convictions or disciplinary actions.
6. Review all sections for completeness before submitting your application along with necessary documents as outlined in Step 3 of the application process.

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