|
Optional Invoice for Providers WSST/Job Coaching 7/23
|
Amy Hancock |
2023-11-20
|
|
(TWE) Trial Work Experience Plan
|
Kristi Berst |
2025-06-05
|
|
15 Day Letter - English
|
Angela Fujan |
2020-02-14
|
|
15 Day Letter - Spanish
|
Angela Fujan |
2022-05-11
|
|
18/23 Month Assessment Action Plan
|
Holly Enriquez |
2018-09-05
|
|
2025 OJE/TWE/WBLE Bi-weekly Payroll Schedule
|
Melysa Johnson |
2024-12-11
|
|
2026 OJE/TWE/WBLE Bi-weekly Payroll Schedule
|
Melysa Johnson |
2025-12-16
|
|
ABI/Autism SE Supplemental Questionnaire
|
Carla Lasley |
2018-11-30
|
|
AbilityOne Process
|
Kristi Berst |
2022-04-01
|
|
Acceptance Agreement Form (Equipment Agreement)
|
Michael Enriquez |
2021-02-28
|
|
Action Planner
|
Angela Fujan |
2011-08-31
|
|
ADA Guidance
|
Holly Enriquez |
2017-02-24
|
|
Agrability Referral
|
Angela Fujan |
2014-03-31
|
|
Application - English
|
Angela Fujan |
2024-07-01
|
|
Application - Spanish
|
Angela Fujan |
2024-07-01
|
|
Assessment for Competitive Integrated Employment Determination Checklist
|
Kristi Berst |
2024-04-01
|
|
Assessment Services
|
Cathy Callaway |
2022-04-08
|
|
Assessment Supports
|
Cathy Callaway |
2023-07-01
|
|
Assignment Purchases-Medicare
|
Cathy Callaway |
|
|
Assignment Purchases-Third Party
|
Cathy Callaway |
|
|
ATP-CPAP Facility Assessment Referral Form
|
Nancy Noha |
2017-07-18
|
|
ATP/VR Referral
|
Nancy Noha |
2024-03-27
|
|
Authorization for Exchange of Information-Multi Agency Release
|
Carla Lasley |
2019-04-30
|
|
Background Screen Release of Information (Disclosure and Authorization Form)
|
Michael Enriquez |
|
|
Benefits Orientation/Referral for Benefits Services
|
Carla Lasley |
2024-04-12
|
|
Benefits Provider Choice or Declination - English
|
Carla Lasley |
2026-03-26
|
|
Benefits Provider Choice or Declination - Spanish
|
Carla Lasley |
2026-03-26
|
|
BP/DHHS Authorization for the Disclosure of Protected Health Information
|
Carla Lasley |
2026-03-24
|
|
BP/DHHS Authorization for the Disclosure of Protected Health Information-Spanish
|
Carla Lasley |
2026-03-24
|
|
BP/SSA 3288 Consent for Release of Information - General English
|
Carla Lasley |
2026-03-19
|
|
BP/SSA 3288 Consent for Release of Information - General Spanish
|
Carla Lasley |
2026-03-19
|
|
Budget Worksheet-Education Financial Aid
|
Angela Fujan |
2016-03-02
|
|
Budget Worksheet-Post-Secondary
|
Angela Fujan |
2006-05-31
|
|
Career Planning Preferences - English
|
Angela Fujan |
2016-01-01
|
|
Career Planning Preferences - Spanish
|
Angela Fujan |
2020-04-15
|
|
Case File Order List
|
Angela Fujan |
2019-06-04
|
|
Case File Request for Information
|
Cathy Callaway |
2023-04-13
|
|
Case Review - Compliance (Draft)
|
Holly Enriquez |
2024-06-30
|
|
Case Review - Quality (Draft)
|
Holly Enriquez |
2024-06-30
|
|
Class Work Site Observation Checklist
|
Kristi Berst |
2021-04-02
|
|
Client Reimbursement
|
Cathy Callaway |
2019-04-30
|
|
Client User ID Password Letter
|
Cathy Callaway |
2021-07-15
|
|
Code of Conduct
|
Angela Fujan |
2021-02-01
|
|
Communication Assessment - English
|
Angela Fujan |
2023-01-24
|
|
Communication Assessment - Spanish
|
Angela Fujan |
2023-01-24
|
|
Compliance Review (Download Word Document)
|
Cathy Callaway |
2024-06-12
|
|
Concurrent Work Incentives Guide 2025 - English
|
Carla Lasley |
2025-01-01
|
|
Concurrent Work Incentives Guide 2025 - Spanish
|
Carla Lasley |
2025-01-01
|
|
Concurrent Work Incentives Guide 2026 - English
|
Carla Lasley |
2026-03-04
|
|
Concurrent Work Incentives Guide 2026 - Spanish
|
Carla Lasley |
2025-11-26
|
|
Confidentiality Agreement
|
Holly Enriquez |
2021-07-27
|
|
Contact Letter - English
|
Angela Fujan |
2019-04-17
|
|
Contact Letter - Spanish
|
Angela Fujan |
2022-04-25
|
|
Continuity of Operations Plan (COOP) for COVID-19
|
Lindy Foley |
2021-08-26
|
|
Corrective Action Plan
|
Cathy Callaway |
2019-04-30
|
|
CPAP 2.0 Individualized Business Plan (IBP)
|
Ami Stubben-Goetsch |
2022-08-16
|
|
Direct Deposit Enrollment
|
Cinda Wacker |
2013-07-31
|
|
Direct Purchase Authorization (DPA)
|
Cathy Callaway |
|
|
Discovery Activity: Application for Employment - English
|
Angela Fujan |
2023-05-11
|
|
Discovery Activity: Application for Employment - Spanish
|
Angela Fujan |
2023-05-11
|
|
Discovery Activity: Family Support Network - English
|
Angela Fujan |
2023-05-11
|
|
Discovery Activity: Family Support Network - Spanish
|
Angela Fujan |
2023-05-11
|
|
Discovery Activity: Job Skills - English
|
Angela Fujan |
2023-05-11
|
|
Discovery Activity: Job Skills - Spanish
|
Angela Fujan |
2023-05-11
|
|
Discovery Activity: Make Sure - English
|
Angela Fujan |
2023-05-11
|
|
Discovery Activity: Make Sure - Spanish
|
Angela Fujan |
2023-05-11
|
|
Discovery Activity: Non-Paid Work Experiences - English
|
Angela Fujan |
2023-05-11
|
|
Discovery Activity: Non-Paid Work Experiences - Spanish
|
Angela Fujan |
2023-05-11
|
|
Discovery Activity: Work Considerations - English
|
Angela Fujan |
2023-05-11
|
|
Discovery Activity: Work Considerations - Spanish
|
Angela Fujan |
2023-05-11
|
|
Discovery Activity: Work Interests - English
|
Angela Fujan |
2023-05-11
|
|
Discovery Activity: Work Interests - Spanish
|
Angela Fujan |
2023-05-11
|
|
Discovery Activity: Work Preferences - English
|
Angela Fujan |
2023-05-11
|
|
Discovery Activity: Work Preferences - Spanish
|
Angela Fujan |
2023-05-11
|
|
Discovery Activity: Work Values - English
|
Angela Fujan |
2023-05-11
|
|
Discovery Activity: Work Values - Spanish
|
Angela Fujan |
2023-05-11
|
|
Electronic Case File Categories/Attachment Types
|
Cathy Callaway |
2025-06-05
|
|
Eligibility Letter - English
|
Angela Fujan |
2024-07-01
|
|
Eligibility Letter - Spanish
|
Angela Fujan |
2020-05-07
|
|
Emancipated Minor Form
|
Carla Lasley |
2019-04-02
|
|
Employee Roster Information
|
Holly Enriquez |
2017-05-03
|
|
Employment Success Skills
|
Michael Enriquez |
2024-10-09
|
|
Exception Request-CSI Furniture (SPB Form 9)
|
Holly Enriquez |
2025-10-15
|
|
Exit Status Decision Tree
|
Kristi Berst |
2025-06-05
|
|
External Agency/Business Partner Media Release
|
Michael Enriquez |
2022-03-16
|
|
Financial Aid Budget Information
|
Angela Fujan |
2011-02-03
|
|
Focus Card Enrollment Form
|
Amy Hancock |
2023-07-05
|
|
Functional Capacities Checklist
|
Angela Fujan |
2019-04-10
|
|
Functional Cognitive Assessment Referral
|
Keri Bennett |
2026-01-29
|
|
Guide for Approval of Eligibility and Priority Groups
|
Angela Fujan |
2017-11-30
|
|
Guide for Nebraska VR Staff Requesting Information from NE Department of Correctional Services
|
Holly Enriquez |
2022-08-25
|
|
High Cost Request
|
Angela Fujan |
2019-09-24
|
|
Horizontal Wage Progression
|
Holly Enriquez |
|
|
I-9 Checklist
|
Holly Enriquez |
|
|
I-9 Form & Information
|
Amy Hancock |
2024-03-06
|
|
Impairments Checklist
|
Angela Fujan |
2019-08-09
|
|
Impediment Questions
|
Angela Fujan |
2023-05-04
|
|
Incident/Accident/Injury Report for Clients & Applicants
|
Holly Enriquez |
2023-02-08
|
|
Individualized Plan for Employment (IPE) - English
|
Cathy Callaway |
2024-12-03
|
|
Individualized Plan for Employment (IPE) - Spanish
|
Cathy Callaway |
2024-12-03
|
|
Information and Referral (I & R) to Other Programs
|
Angela Fujan |
2022-07-12
|
|
Information and Referral (I & R) to Other Programs - Spanish
|
Angela Fujan |
2022-07-12
|
|
Informational Interview Questionnaire
|
Kristi Berst |
2018-11-20
|
|
Initial Meeting Questions
|
Angela Fujan |
2019-08-01
|
|
Initial Meeting to Next Step Guide
|
Angela Fujan |
2021-03-31
|
|
IPE Amendment of Job Goal at Outcome/Termination of Service - English
|
Angela Fujan |
2022-04-13
|
|
IPE Amendment of Job Goal at Outcome/Termination of Service - Spanish
|
Angela Fujan |
2022-04-13
|
|
IPE Guide
|
Angela Fujan |
2019-08-30
|
|
IPE Services
|
Cathy Callaway |
2024-07-01
|
|
Job Facts Guide
|
Michael Enriquez |
2014-05-31
|
|
Job Planning Factors & Job Planning Discussion
|
Angela Fujan |
2021-10-26
|
|
Job Readiness Factors & Initial Meeting - A Guide for Staff
|
Angela Fujan |
2021-10-26
|
|
Job Search Agreement and Consent - English
|
Michael Enriquez |
2023-03-16
|
|
Job Search Agreement and Consent - Spanish
|
Michael Enriquez |
2023-03-16
|
|
Job Seeking Skills Training Application
|
Michael Enriquez |
|
|
Job Seeking Skills Training Booklet - English
|
Michael Enriquez |
2017-12-01
|
|
Key VR Timeframes
|
Angela Fujan |
2025-08-21
|
|
List of Background Checks
|
Carla Lasley |
2024-01-05
|
|
Mediation Referral
|
Angela Fujan |
2019-04-30
|
|
Medicaid Spreadsheet (No Insurance)
|
Amy Hancock |
|
|
Medicaid Spreadsheet (With Insurance)
|
Cathy Callaway |
2025-03-31
|
|
Merit Stipend Request
|
Holly Enriquez |
|
|
NE VR Sign Language Interpreting Request
|
Vicki Steinhaur-Campbell |
2016-05-05
|
|
Nebraska VR ABI Interview
|
Keri Bennett |
2026-05-11
|
|
Nebraska VR Office Listing
|
Cathy Callaway |
2026-02-26
|
|
Nebraska VR Question and Answers Continuity of Operations Plan (COOP)- COVID 19
|
Lindy Foley |
2021-04-01
|
|
Nebraska VR/SPED Inter-Departmental Agreement
|
Lindy Foley |
2018-08-22
|
|
Next Steps - English
|
Angela Fujan |
2010-11-30
|
|
Next Steps- Spanish
|
Angela Fujan |
2015-11-30
|
|
Office Director Letter
|
Angela Fujan |
2022-10-07
|
|
OJE Letter - Paid
|
Kristi Berst |
2025-06-05
|
|
OJE Letter - Unpaid
|
Kristi Berst |
2025-06-05
|
|
OJE/TWE Checklist
|
Kristi Berst |
2022-02-25
|
|
OJE/TWE Consent
|
Kristi Berst |
2022-01-12
|
|
OJE/TWE Timesheet
|
Kristi Berst |
2022-01-12
|
|
OJT Letter
|
Michael Enriquez |
2022-01-12
|
|
On-Line Access to Pay Stub - English
|
Cathy Callaway |
2026-01-07
|
|
On-line Access to Pay Stub - Spanish
|
Cathy Callaway |
2026-01-07
|
|
On-the-Job Report
|
Kristi Berst |
2025-06-30
|
|
OOS Off Wait List Letter - English
|
Angela Fujan |
2020-02-25
|
|
OOS Off Wait List Letter - Spanish
|
Angela Fujan |
2022-11-18
|
|
OOS Upgrading Priority Group Letter - English
|
Angela Fujan |
2021-08-04
|
|
OOS Upgrading Priority Group Letter - Spanish
|
Angela Fujan |
2021-08-27
|
|
Order of Selection (OOS) Fact Sheet
|
Angela Fujan |
2022-10-03
|
|
Order of Selection (OOS) Fact Sheet Spanish
|
Angela Fujan |
2022-10-03
|
|
Order of Selection (OOS) Questions & Answers
|
Angela Fujan |
2018-05-08
|
|
Order of Selection (OOS) Talking Points
|
Lindy Foley |
2018-05-03
|
|
Order of Selection communication to VR staff on process for working with BH Regions while all categories are closed
|
Lindy Foley |
2018-06-04
|
|
Order of Selection Communication to VR staff on process for working with DDD while all categories are closed
|
Lindy Foley |
2018-06-04
|
|
Order of Selection Job Retention Questions
|
Angela Fujan |
2019-03-31
|
|
Order of Selection Retention Letter
|
Angela Fujan |
2020-11-19
|
|
Orientation Welcome Letter-Word version
|
Sarah Chapin |
2017-12-14
|
|
Pearls of Placement Reference Guide
|
Michael Enriquez |
2024-01-24
|
|
Physical Capacities
|
Angela Fujan |
2014-02-28
|
|
Position Information Sheet Associate
|
Holly Enriquez |
2019-10-25
|
|
Position Information Sheet Service/Rehab Specialists
|
Holly Enriquez |
2019-10-25
|
|
Post Secondary Training Justification - PDF
|
Angela Fujan |
2010-09-30
|
|
Post Secondary Training Justification - Word doc
|
Angela Fujan |
2010-09-30
|
|
Pre-Employment Transition Services Consent & Information Release - English
|
Lupe Stevens |
2023-05-16
|
|
Pre-Employment Transition Services Consent & Information Release - Spanish
|
Lupe Stevens |
2023-05-16
|
|
Pre-Employment Transition Services Consent for a Non-paid Work Based Learning Experience
|
Lupe Stevens |
2019-04-30
|
|
Pre-Employment Transition Services Consent for a Paid Work Based Learning Experience (14-15 y.o.)
|
Lupe Stevens |
2019-04-30
|
|
Pre-Employment Transition Services Consent for a Paid Work Based Learning Experience (14-15 y.o.) Spanish
|
Lupe Stevens |
2019-04-30
|
|
Pre-Employment Transition Services Consent for a Paid Work Based Learning Experience (16+ y.o.)
|
Lupe Stevens |
2019-04-30
|
|
Pre-Employment Transition Services Consent for a Paid Work Based Learning Experience (16+ y.o.) Spanish
|
Lupe Stevens |
2019-04-30
|
|
Pre-Employment Transition Services Consent for Non-paid Work Based Learning Experience Spanish
|
Lupe Stevens |
2019-04-30
|
|
Pre-Employment Transition Services Release of Information English
|
Lupe Stevens |
2020-04-29
|
|
Pre-Employment Transition Services Release of Information Spanish
|
Lupe Stevens |
2020-04-30
|
|
Pre-Employment Transition Services Work Based Learning Letter-Paid
|
Lupe Stevens |
2017-08-30
|
|
Pre-Employment Transition Services Work Based Learning Letter-Unpaid
|
Lupe Stevens |
2017-08-30
|
|
Pre-Employment Transition Services Work-Based Learning Experience (WBLE) Checklist
|
Lupe Stevens |
2023-08-29
|
|
Pre-Employment Transition Services Work-Based Learning Experience Information
|
Lindsay Brown |
2022-05-05
|
|
Pre-Employment Transition Services Work-Based Learning Experience Information Spanish
|
Lindsay Brown |
2022-05-04
|
|
Pre-Employment Transition Services Work-Based Learning Experience Report
|
Lupe Stevens |
2019-06-20
|
|
Pre-ETS Benefits Orientation - Discussion Referral
|
Lindsay Brown |
2025-10-30
|
|
Pre-ETS Benefits Orientation Flowchart
|
Lindsay Brown |
2025-10-30
|
|
Pre-ETS Benefits Orientation Information - English
|
Lindsay Brown |
2025-12-09
|
|
Pre-ETS Benefits Orientation Information - Spanish
|
Lindsay Brown |
2025-12-09
|
|
Pre-ETS Job Exploration Referral
|
Lupe Stevens |
2023-01-24
|
|
Pre-ETS Letter Change of Contact - English
|
Lindsay Brown |
2025-01-28
|
|
Pre-ETS Letter Change of Contact - Spanish
|
Lindsay Brown |
2025-01-28
|
|
Pre-ETS Letter Non Participation - English
|
Lindsay Brown |
2025-01-28
|
|
Pre-ETS Letter Non Participation - Spanish
|
Lindsay Brown |
2025-01-28
|
|
Pre-ETS Letter Termination - English
|
Lindsay Brown |
2025-10-07
|
|
Pre-ETS Letter Termination - Spanish
|
Lindsay Brown |
2025-10-30
|
|
Pre-ETS Letter Termination after Graduation - English
|
Lindsay Brown |
2025-01-28
|
|
Pre-ETS Letter Termination after Graduation - Spanish
|
Lindsay Brown |
2025-01-28
|
|
Pre-ETS Letter Welcome - English
|
Lindsay Brown |
2025-01-28
|
|
Pre-ETS Letter Welcome - Spanish
|
Lindsay Brown |
2025-01-28
|
|
Progressive Employment Model
|
Michael Enriquez |
2022-03-31
|
|
Proof of Purchase
|
Cathy Callaway |
2019-04-30
|
|
Provider Invoice
|
Cathy Callaway |
2026-02-26
|
|
Purchase of Goods and Services
|
Angela Fujan |
2017-05-01
|
|
Quality Review (Download Word Document)
|
Cathy Callaway |
2024-06-12
|
|
Records Transfer Sheet
|
Holly Enriquez |
2023-04-06
|
|
Release of Information English
|
Angela Fujan |
2024-02-13
|
|
Release of Information Spanish
|
Angela Fujan |
2024-02-13
|
|
Request for Certificate of Self-Insurance
|
Holly Enriquez |
2025-07-01
|
|
Request for Medical Information - English
|
Angela Fujan |
2019-04-01
|
|
Request for Medical Information - Spanish
|
Angela Fujan |
2019-04-01
|
|
Request Temporary Access
|
Holly Enriquez |
2022-06-06
|
|
Schedule A Certification Letter for VR Staff
|
Michael Enriquez |
2018-10-01
|
|
Section 511: CCIR Case Review Checklist
|
DJ Plautz |
2023-01-24
|
|
Section 511: Documentation Checklist for Adults (age 25 and older)
|
DJ Plautz |
2020-02-24
|
|
Section 511: Documentation Checklist for Youth (Age 24 and younger)
|
DJ Plautz |
2020-02-24
|
|
Section 511: Refusal of Pre-Employment Transition Services (While still in High School)
|
DJ Plautz |
2020-11-30
|
|
Section 511: Refusal to Participate - English
|
DJ Plautz |
2023-01-27
|
|
Section 511: Refusal to Participate - Spanish
|
DJ Plautz |
2023-01-27
|
|
Self Employment Discussion Questionnaire-Data Entry
|
Julie Shively |
2021-03-24
|
|
Self Employment Feasibility Referral Form
|
Julie Shively |
2022-05-23
|
|
Self Employment Personal Finance Worksheet
|
Julie Shively |
2017-02-07
|
|
Self Employment Process Chart
|
Julie Shively |
2018-01-26
|
|
Self Employment Rates & Hourly Estimates
|
Michael Enriquez |
2023-05-25
|
|
Self Employment-Advantages
|
Julie Shively |
2017-03-01
|
|
Self-Employment - Green Flags/Red Flags
|
Julie Shively |
2021-12-10
|
|
Service & Device Application - English
|
Nancy Noha |
2023-10-20
|
|
Service & Device Application - Spanish
|
Nancy Noha |
2023-10-20
|
|
Service Agreement
|
Carla Lasley |
2026-03-26
|
|
Signing of VR Documents chart
|
Carla Lasley |
2019-04-02
|
|
Sources & Uses of Funds
|
Julie Shively |
2021-04-09
|
|
State Vehicle Waiver - VR English and Spanish
|
Holly Enriquez |
2019-06-04
|
|
Student Financial Aid Report (SFAR-E)
|
Angela Fujan |
2024-08-14
|
|
Substance Use Disorders- VR Desk Reference
|
Angela Fujan |
2022-11-18
|
|
Successful Outcome Letter (Non SSA) in English
|
Angela Fujan |
2022-10-07
|
|
Successful Outcome Letter (Non SSA) in Spanish
|
Angela Fujan |
2022-10-07
|
|
Successful Outcome Letter (SS beneficiaries) in English
|
Carla Lasley |
2022-10-07
|
|
Successful Outcome Letter (SS beneficiaries) in Spanish
|
Carla Lasley |
2022-10-07
|
|
Suicide Call
|
Holly Enriquez |
2009-02-28
|
|
Suicide Call Form
|
Holly Enriquez |
2015-12-16
|
|
Summary of Case Review Findings
|
Angela Fujan |
2020-01-13
|
|
Summary of Initial Meeting
|
Angela Fujan |
2019-04-04
|
|
Summary of Initial Meeting-Spanish
|
Angela Fujan |
2019-04-04
|
|
Supported and Customized Employment - Side by Side Referral Decision Guide
|
DJ Plautz |
2023-07-01
|
|
Supported and Customized Employment Extended Services for Youth Report & Invoice
|
DJ Plautz |
2023-09-20
|
|
Supported and Customized Employment Fiscal Chart
|
DJ Plautz |
2025-07-01
|
|
Supported and Customized Employment Job Coaching/Job Support Report & Invoice
|
DJ Plautz |
2025-07-01
|
|
Supported and Customized Employment Job Search and Placement - Outcome Report & Invoice
|
DJ Plautz |
2025-07-01
|
|
Supported and Customized Employment Monthly Report
|
DJ Plautz |
2023-07-01
|
|
Supported and Customized Employment Plan for Job Development - Outcome Report & Invoice
|
DJ Plautz |
2025-07-01
|
|
Supported and Customized Employment Provider Handbook
|
DJ Plautz |
2025-07-01
|
|
Supported and Customized Employment Referral
|
DJ Plautz |
2023-07-01
|
|
Supported and Customized Employment Verification of Employee Hours Worked
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DJ Plautz |
2023-09-01
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Supported Employment Case Review
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DJ Plautz |
2024-07-01
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Supported Employment Provider Questions
|
DJ Plautz |
2026-01-16
|
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Supported Self-Employment Guidance
|
Michael Enriquez |
2018-05-23
|
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Supported/Customized Employment Payment Schedule
|
DJ Plautz |
2024-07-01
|
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Tax Exempt Form (Form 13)
|
Cathy Callaway |
2025-07-22
|
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Termination Letter for Non SSA Recipients in English
|
Angela Fujan |
2022-10-07
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Termination Letter for Non SSA Recipients in Spanish
|
Angela Fujan |
2022-10-12
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Termination Letter for SSA Recipients in English
|
Carla Lasley |
2022-10-07
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Termination Letter for SSA Recipients in Spanish
|
Carla Lasley |
2022-10-07
|
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Time Conversion Chart
|
Cathy Callaway |
|
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Title II: Social Security Disability Insurance Work Incentives Guide 2025 - English
|
Carla Lasley |
2025-01-01
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Title II: Social Security Disability Insurance Work Incentives Guide 2025 - Spanish
|
Carla Lasley |
2025-01-01
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Title II: Social Security Disability Insurance Work Incentives Guide 2026 - English
|
Carla Lasley |
2025-11-26
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Title II: Social Security Disability Insurance Work Incentives Guide 2026 - Spanish
|
Carla Lasley |
2025-11-26
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Title XVI: Supplemental Security Income Work Incentives Guide 2025 - English
|
Carla Lasley |
2025-01-01
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Title XVI: Supplemental Security Income Work Incentives Guide 2025 - Spanish
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Carla Lasley |
2025-01-01
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Title XVI: Supplemental Security Income Work Incentives Guide 2026 - English
|
Carla Lasley |
2026-03-04
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Title XVI: Supplemental Security Income Work Incentives Guide 2026 - Spanish
|
Carla Lasley |
2026-02-04
|
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Training Plan
|
Ken Cuevas |
2018-09-19
|
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Training Request
|
Ken Cuevas |
2020-02-18
|
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Transition Partnership Planning Form
|
Lupe Stevens |
2021-08-17
|
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Transition Services Partnership Planner
|
Lupe Stevens |
2021-08-16
|
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TSB Official Travel Log
|
Melysa Johnson |
2026-01-01
|
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Viability Referral
|
Angela Fujan |
2021-06-14
|
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Video and Media Information Release for Clients
|
Sarah Chapin |
2025-04-29
|
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Vocational Evaluation Referral
|
Kristi Berst |
2022-12-08
|
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Volunteer/Non-Paid Accident Coverage
|
Holly Enriquez |
2025-07-07
|
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Volunteer/Unpaid Intern
|
Holly Enriquez |
|
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Voter Registration Disclaimer
|
Holly Enriquez |
2020-04-01
|
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Voter Registration Disclaimer-Spanish
|
Holly Enriquez |
2020-04-14
|
|
Voter Registration Form Spanish
|
Holly Enriquez |
2025-12-22
|
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Voter Registration Form English
|
Holly Enriquez |
2025-12-22
|
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VR Financial Aid
|
Angela Fujan |
2022-11-10
|
|
VR Process Chart
|
Angela Fujan |
2021-10-26
|
|
VR Psychological Narrative Report Guidelines
|
Angela Fujan |
2006-08-31
|
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VR Referral Form - English
|
Angela Fujan |
2023-10-20
|
|
VR Referral Form - Spanish
|
Angela Fujan |
2023-10-20
|
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VR/SSA 3288 Consent for Release of Information - General English
|
Carla Lasley |
2021-11-10
|
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VR/SSA 3288 Consent for Release of Information - General Spanish
|
Carla Lasley |
2021-11-10
|
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W-4 Employee's Withholding Allowance Certificate
|
Holly Enriquez |
2026-01-07
|
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W-4N Employee’s Nebraska Withholding Allowance Certificate
|
Holly Enriquez |
2023-07-05
|
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W-9 & ACH Enrollment
|
Cinda Wacker |
|
|
Weekly Job Search Record
|
Michael Enriquez |
|
|
Welcome Letter with Link to Orientation Video-Constant Contact
|
Sarah Chapin |
2024-07-10
|
|
What to Expect During Nebraska VR ABI Interview
|
Keri Bennett |
2025-11-24
|
|
Work Opportunity Tax Credits - 8850 - Pre-Screening Notice & Certification Request - English
|
Michael Enriquez |
|
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Work Opportunity Tax Credits - 8850 - Pre-Screening Notice & Certification Request - Spanish
|
Michael Enriquez |
|
|
Work Opportunity Tax Credits - 8850 - Pre-Screening Notice & Certification Request Instructions
|
Michael Enriquez |
|
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Work Opportunity Tax Credits - 9061 Individual Characteristics - English
|
Michael Enriquez |
|
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Work Opportunity Tax Credits - 9061 Individual Characteristics - Spanish
|
Michael Enriquez |
|
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Work Schedule
|
Holly Enriquez |
|
|
Work-Based Learning Experience (WBLE) Timesheet
|
Lindsay Brown |
2023-06-13
|
Where your future begins