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  • E-resource Account Application - Public Health

Get E-resource Account Application - Public Health

K PHONE # POSITION/TITLE Email address I am a permanent DPH/HSA Employee I am a temporary DPH/HSA Employee/Student. I will leave DPH/HSA on: Date Other, please explain: I am requesting this account in order to access DPH/HSA licensed e-resources. I understand that this request incorporates all of the County of Los Angeles, DHS, and DPH policies concerning computer usage. Signature Date Instructions. Fill in the information above, print, sign and scan and e-mail or send to: Norma Layton L.

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How to fill out the E-RESOURCE ACCOUNT APPLICATION - Public Health online

This guide provides clear instructions for completing the E-RESOURCE ACCOUNT APPLICATION for Public Health. By following these steps, users can efficiently fill out the application online to access essential digital resources.

Follow the steps to successfully complete your application.

  1. Click ‘Get Form’ button to obtain the application form and access it in your preferred online editor.
  2. Begin by entering your last name as it appears on your time card in the designated field.
  3. In the next field, input your department name accurately to ensure proper identification.
  4. Enter your first name as it appears on your time card, ensuring all spelling is correct.
  5. Include your middle initial in the provided section.
  6. Fill in your employee number in the corresponding field.
  7. Provide your work phone number for contact purposes.
  8. State your position or title in your current role within the department.
  9. Enter your email address where you would like to receive updates regarding your application.
  10. Indicate your employment status by selecting either 'I am a permanent DPH/HSA Employee' or 'I am a temporary DPH/HSA Employee/Student.' If applicable, enter the date when you will leave DPH/HSA.
  11. If your employment status is different, select 'Other' and provide an explanation in the provided field.
  12. Acknowledge that you are requesting this account to access DPH/HSA licensed e-resources and understand the associated policies concerning computer usage.
  13. Place your signature in the designated area to validate your request.
  14. Finally, enter the date on which you are completing the application.
  15. After filling out all sections, save your changes. You may also download, print, or share the form as needed before submission.

Complete your application online now to gain access to vital resources.

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Public Records Requests​​ All public records or Freedom of Information Act (FOIA) requests should be sent to the DHHS Public Records Office at DHHS.PublicRecords@nebraska.gov. Per state statute, any requests for data not on the Department's public domain are to be submitted via public records request.

Enhance the health and well-being of all Americans, by providing for effective health and human services and by fostering sound, sustained advances in the sciences underlying medicine, public health, and social services.

You can verify Medicaid coverage four ways: Call the Nebraska Medicaid eligibility system (NMES) line (instructions ). Work with your electronic data interchange (EDI) clearinghouse to set up electronic Health Care Eligibility Benefit Inquiry (ASC X12N 270/271) Access client eligibility online.

The department has five divisions: Behavioral Health, Children and Family Services, Developmental Disabilities, Medicaid and Long-Term Care and Public Health. The directors of the divisions are also appointed by the Governor and subject to confirmation by a majority vote of the members of the legislature.

The program provides cash assistance to low-income families with minor children. ADC income is used to pay for family living expenses like rent, utilities, food, clothing, and other necessities.

Dr. Steve Corsi was appointed Chief Executive Officer (CEO) of the Department of Health and Human Services for the state of Nebraska on August 16, 2023. Corsi's most recent role is acting CEO of the Central Wyoming Counseling Center.

Nebraska Department of Health & Human Services (DHHS) It is also responsible for the regulation and licensure of health-related professions and occupations, as well as the regulation and licensure of health care facilities and services.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232