Workers Compensation

Workers Comp Forms for NE

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Nebraska Workers Comp Forms

Find Nebraska workers compensation forms, documents and cemployer guides.

We offer free access to the most common forms needed relating to Nebraska Workers Compensation Insurance. We strive to keep these forms up to date and accurate.

As with all the information we provide about state workers comp rules please verify the accuracy of this information with the Nebraska Department Of Insurance.

If you have questions about any of these forms feel free to contact one of our Work Comp Experts at 888-611-7467. If you are ready you can start a quote online today.

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Need an NE Form? Call 888-611-7467 for an Nebraska Workers Compensation Specialist

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Nebraska Acord 130 Workers Compensation Application

The standard Acord 130 application form for workers comp coverage in Nebraska.

Nebraska First Report of Injury Form

Nebraska First Report of Injury Form. Employers should complete this form and send to their insurance company each time an injury occurs

Nebraska Application for Election and Exclusion of Officers and Stockholders

Owners and Officers of corporations should complete this form to include or exclude themselves from a work comp policy.

Nebraska Application for Inclusion Form

Sole proprietors, partners, and spouses of corporate officers should complete this form to include themselves on a work comp policy.

Nebraska New Farm Employee Exemption Form

Complete this form if you are a new farm employee and are not covered by the Nebraska Workers' Compensation Act.

Rights and Obligations Information

Information about workers compensation in Nebraska for workers and employers.

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Nebraska Workers' Compensation Court

Nebraska has its own workers' compensation court as part of its state government. This court handles all aspects of the Nebraska Workers' Compensation Act.

The mission of the Nebraska Workers' Compensation Court is to administer and enforce all provisions of the Nebraska Workers' Compensation Act, except those provisions that are committed to the courts of appellate jurisdiction or as otherwise provided by law. The Nebraska Workers' Compensation Court is composed of seven judges who are initially appointed by the governor. A judge is then subject to a retention vote by the electorate three years after his or her appointment and every six years thereafter.

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State Resources for Nebraska

Nebraska Department Of Insurance

Terminal Building
941 O Street, Suite 400
Lincoln, NE 68508-3639

Nebraska Workers' Compensation Court

P.O. Box 98908
Lincoln NE 68509-8908

Workers compensation insurance is required by law for Nebraska employers.

Nebraska forms and applications such as owners inclusion or exclusion forms are sometimes updated by the state. Contact us if you need help or can't find the workers compensation form your need for Nebraska.

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Find Affordable Workers Comp Programs in Your State

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Get more afforable insurance quotes for your business.


We work with over 35 workers comp insurance companies across the U.S to shop your insurance coverage for the best price.

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With dozens of Pay As You Go and easy installment plans to choose from, you get more flexible options for your business.

Pay As You Go and other lower deposit programs


We've developed Target Programs with our insurance companies to help find you the right insurance product with lower rates.

Learn more about workers compensation insurance in Nebraska Work Comp:   Nebraska | NE Programs| NE Rates | NE Forms | NE Info | NE Quotes
Workers Compensation Agents Pay as You Go Work Comp.

At Workers Compensation, we help Nebraska employers find the absolute best deals on work comp coverage by offering flexible payment options like Pay as You Go Workers Comp. We do this because we know how important cash flow is to your business. The Pay as You Go Programs lowers your up-front costs and offers you monthly reporting for your premiums.

Give one of our Nebraska workers compensation specialists a call today at 888-611-7467 for a free, no-obligation quote on workers compensation insurance.

Nebraska Agency License: 417223
National Producer Number: 5064979

Contact a Nebraska Workmans Comp Specialist