Get Nebraska Abuse And Neglect Release Form

The Nebraska Abuse And Neglect Release Form is essential for individuals and agencies seeking information from the Adult and Child Abuse and Neglect Registry. This guide will provide clear instructions on how to complete the form online effectively.

Follow the steps to complete the form accurately.

1. Click ‘Get Form’ button to obtain the form and open it online in the editor.
2. Fill in the agency name requesting the information. Make sure to include the full name as it appears on official documents.
3. Enter the fax number for the agency, ensuring it is correct to facilitate communication.
4. Provide the agency's address, including city, state, and zip code, so that all correspondence can be directed correctly.
5. In the section for the full legal name, input the applicant's complete legal name. This should match identification documents to avoid delays.
6. Fill in the applicant's address, city, state, zip code, and date of birth accurately to ensure proper identification.
7. Enter the applicant's social security number as this information is crucial for processing the request.
8. List any other names the applicant has previously used, including maiden names and nicknames, to help identify records accurately.
9. Document the names and birth dates of children and others who have lived with the applicant, as this information is pertinent to the registry check.
10. Provide any addresses where the applicant has resided in the past 20 years to give a complete background for the request.
11. The applicant must print their full legal name and sign the form, followed by dating it to confirm intent.
12. Once all sections are accurately completed, save changes, then download, print, or share the form as needed.

Complete your documents online efficiently and ensure you have all necessary information ready.