Vocational Rehabilitation Publications and Forms

Vocational Rehabilitation Publications

Vocational Rehabilitation Forms

The forms below may be completed electronically, then printed and mailed to the Nebraska Workers’ Compensation Court, Vocational Rehabilitation Section, P.O. Box 98908, Lincoln NE 68509-8908. If additional space is required to complete a

form, please attach the necessary information on a separate sheet(s) of paper. You may contact us with questions or comments about these forms.

NOTE: All submissions of this form must include a completed US Citizenship Attestation Form, listed below.

NOTE: This form must accompany all submissions of Form VR-44: VR Plan, listed above. Select this link to view applicant resources for the Systematic Alien Verification for Entitlements (SAVE) program.