Nebraska Department of Health and Human Services
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Paid Dining Assistant
Applications

These forms may be completed online, however, they 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 listed.

pdficon.gif (134 bytes) Address Change Form

pdficon.gif (134 bytes) Name Change Form

pdficon.gif (134 bytes) Paid Dining Assistant Registry Form

pdficon.gif (134 bytes) Application for Course Approval

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