blueball.gif (409 bytes)  Intermediate Care Facilities for Persons with Developmental Disabilities (ICF/DD) Home Page
blueball.gif (409 bytes) Change Notification
blueball.gif (409 bytes) Complaints - How to File
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blueball.gif (409 bytes) Disciplinary Actions
blueball.gif (409 bytes) Duplicate License
blueball.gif (409 bytes) Fees
blueball.gif (409 bytes) Food Service Code Book
blueball.gif (409 bytes) Listings and Labels
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Intermediate Care Facilities for Persons with Developmental Disabilities
Duplicate License

The form may be completed online; however, it cannot be submitted via e-mail due to the fact that all applications and forms require original signatures. If you complete the form online, you must print the form, sign it, and mail it to the address below.

A duplicate or reissued license is available for a fee of $10.00. PDF File Duplicate/Reissue Form

Licensure Unit
PO Box 94986
Lincoln, NE 68508-9486


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