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Department of Health and Human Services Division of Public Health Licensure Unit P.O. Box 94986 Lincoln, Nebraska 68509-4986 AFFIDAVIT OF NAME CHANGE State of) County of) I, being first duly sworn,
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How to fill out Nebraska Health and Human:

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Start by gathering all necessary documents such as identification, proof of income, and any other required forms.
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Note: It is advisable to consult the official Nebraska Health and Human Services website or contact their office directly for the most accurate and up-to-date information regarding eligibility and the application process.
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Nebraska Health and Human Services (HHSS) is a state agency responsible for overseeing a variety of programs related to health, welfare, and social services.
Individuals and families who receive benefits or services from the HHSS programs may be required to file Nebraska Health and Human forms.
Nebraska Health and Human forms can be filled out either online through the HHSS website or by submitting a paper application to the local HHSS office.
The purpose of Nebraska Health and Human is to collect information about individuals and families receiving benefits or services from HHSS programs in order to determine eligibility and provide necessary assistance.
Information such as income, household members, expenses, and any changes in circumstances must be reported on Nebraska Health and Human forms.
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