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Long Term Care Facilities
Duplicate License
The form may be completed online, however, it cannot be
submitted via e-mail due to the fact that all applications and forms require original
signatures. If you complete the form online, you must print the form and mail it to the
address below.
A duplicate or reissued license is available for a fee of $10.00. Duplicate/Reissue Form
Licensing & Regulatory Affairs
Long Term Care Facilities
PO Box 94986
Lincoln, NE 68508-9486 |

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