WORKERS COMPENSATION WAIVER - Nebraska
This form is to be used only for a Nebraska motor vehicle /trailer /motorcycle dealer license application or renewal. WORKERS COMPENSATION WAIVER ALL EMPLOYERS MUST PROVIDE EVIDENCE OF COMPLIANCE WITH THE INSURANCE REQUIREMENTS OF THE NEBRASKA WORKERS COMPENSATION ACT as required by ยง48-106 and 48-145 R.R.S. Nebraska 1943 as amended to date. ... ................
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