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Paid Dining Assistant
Name and Address Change

To request an address change, you may fill out the pdficon.gif (134 bytes) address change form or contact Nancy Stava at (402) 471-0537 or email at nancy.stava@nebraska.gov.  Be sure to include your name and date of birth if you mail, fax, or email your address change.

In order to change your name, you must mail or fax the pdficon.gif (134 bytes) name change form or a written request with your signature notarized along with a copy of the marriage certificate, divorce decree, or other court record verifying your name change. Be sure to include your social security number on the document you submit.

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