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Talking Book & Braille Service
Application Information
Applications must be submitted in paper form and include the original signature of the certifying authority. FAX or electronic submissions can not be accepted.
Individuals Living in Nebraska Submit an Individual Application Form.
Example: Individuals living in their own homes, with family members, or independently in assisted living centers.
Nebraska Facilities
Submit a Facility Application Form.
Example: Individuals living in or receiving service through nursing homes, hospitals, assisted living centers, senior citizen centers. If individual residents prefer to receive service directly (in their own name), they need to submit an Individual Application Form.
Nebraska Schools
Submit a Facility Application Form and a Student Enrollment Form.Also submit an Individual Application Form for each student new to talking books. Both these forms need to be submitted only once. A medical doctor or doctor of osteopathy must sign applications for students with reading disability.
At the beginning of each subsequent school year, submit an Annual School Enrollment Form to show which students will be receiving talking book service during that particular year.
The forms listed above are in PDF (portable document format). Acrobat Reader (version five and higher) provides text access to these forms. A user can enter information directly into the form using the computer then print the completed form or print the form and complete it with pen.
Get the free Adobe Reader or contact us, and we will send you an application form via the U.S. Postal Service. Please make sure you include a postal address in email or voicemail requests.
