green ball.gif (1006 bytes) Assisted-Living Facilities Home Page
green ball.gif (1006 bytes) Applications/Licensure Requirements
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Contact Information
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green ball.gif (1006 bytes) Disciplinary Actions
green ball.gif (1006 bytes) Duplicate License
green ball.gif (1006 bytes) Fees
green ball.gif (1006 bytes) Food Service Code Book
green ball.gif (1006 bytes) Initial Administrator Training/Application
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Assisted-Living Facilities
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
Long Term Care Section
PO Box 94986
Lincoln, NE 68508-9486

 

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