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and preschool programs receive a Provisional License for their first year of operation. To … NAME Page 2 of 331 EFFECTIVE DATE LICENSE NUMBER 68002 Washington BRUHN, BONNIE 335 NORTH …
Authors: System Account Date: 7/24/2015 Size: 1MB

http://dhhs.ne.gov/publichealth/Documents/ChildCareRoster.pdfView duplicates

Revised form for 2014 fee increase
Authors: System Account Date: 6/30/2014 Size: 166KB

http://dhhs.ne.gov/publichealth/Documents/marriage.pdf

2-002 DEFINITIONS Credential means a license, certificate, or registration. Department means …
Authors: System Account Date: 7/20/2015 Size: 11MB

http://dhhs.ne.gov/Documents/Title-172-Complete.pdf

Newly updated application to replace previous per Kris Chiles. … City: State: Zip: 3 Provisional MHP License Number: Mental Health Practice License Number: Date of Birth: Place of Birth: 4 …
Authors: System Account, Krischiles Date: 11/13/2013 Size: 1MB

http://dhhs.ne.gov/publichealth/Licensure/Documents/IndependentMHPLicenseApp.pdf

Updated DHHS logo.
Authors: System Account, Djames Date: 4/6/2015 Size: 464KB

http://dhhs.ne.gov/publichealth/Documents/nameform.pdf

PROCEDURES 002.01 Application -Initial License. Application for an initial license to operate a Center for the …
Authors: System Account, Jhicks Date: 1/5/2015 Size: 8MB

http://dhhs.ne.gov/Documents/Title-175-Complete.pdf

Child Care and Development Fund (CCDF) Plan For Nebraska FFY 2014-2015 1.1 Contact Information The agency shown below has been designated by the Chief Executive Officer of the State …
Authors: System Account Date: 12/24/2013 Size: 253KB

http://dhhs.ne.gov/publichealth/Documents/ChildCareDevelopmentFundPlan.pdf

NE 68509-4986 REQUEST FOR REISSUANCE OF LICENSE OR CERTIFICATION DOCUMENTS 1. NAME: First … Check one: copy of current driver’s license showing photograph and signature copy of birth …
Authors: System Account, Cmarx Date: 2/23/2015 Size: 121KB

http://dhhs.ne.gov/publichealth/Documents/reissue.pdfView duplicates

ATTACHMENT 4.18-A Page 1 STATE PLAN UNDER TITLE XIX OF THE SOCIAL SECURITY ACT State Nebraska COST-SHARING FOR THE CATEGORICALLY NEEDY Effective October 24, 2011, the Nebraska Medical …
Authors: System Account, Jessica Miller Date: 7/1/2015 Size: 1MB

http://dhhs.ne.gov/medicaid/Documents/Part3.pdfView duplicates

STATE PLAN UNDER TITLE XIX OF THE SOCIAL SECURITY ACT ATTACHMENT 1.1-A MEDICAL ASSISTANCE PROGRAM State of Nebraska ATTORNEY GENERAL'S CERTIFICATION I certify that: TheNebraska …
Authors: System Account, Sue Schata Date: 5/15/2015 Size: 1MB

http://dhhs.ne.gov/medicaid/Documents/Part2.pdfView duplicates