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Athletic Training
Applications

If you complete the form online, you must print the form and mail it to the address below.

Fees (if applicable) are payable to the Licensure Unit.

DHHS, Public Health
Licensure Unit
PO Box 94986
Lincoln, NE 68509-4986

pdf icon Athletic Training Application
pdf icon Duplicate/Reissue form
pdf icon Name Change form
pdf icon Reinstatement

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