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Health Clinics
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 on-line, you must print the form and mail it to the address below.

A duplicate or reissued license is available for a fee of $10.00. pdf iconDuplicate/Reissue Form

Licensure Unit
Acute Care Facilities
PO Box 94986
Lincoln, NE 68508-9486

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