EMPLOYERS:
Below, there are some of the forms that you'll need for doing business with the department. Select the appropriate form for printing. You may then complete it and mail it to us.

Note: These are in "Adobe Acrobat" format.

Number	Name
LB-0441	Report to Determine Status Application For Employer Number
LB-0443	Report to Determine Status - State and Local Government
LB-0444	Report to Determine Status - Nonprofit Organizations
LB-0459	Claim for Adjustment or Refund
LB-0483	Application for Transfer of Experience Rating Record
LB-0487	Joint Low Earnings and Claim for Benefits for Partial Unemployment
LB-0489	Separation Notice
LB-0755	Social Security Number Correction
LB-0910	Application For Client Number (for clients of staff leasing companies)
LB-0927	Power of Attorney
	Electronic Funds Transfer Agreement
	Electronic Filing Agreement
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