Pre-Need Applications and Forms | Nebraska Department of Insurance

Pre-Need Applications

Pre-Need Agent Application
Pre-Need Seller Application

Applications Contact Information
Licensing Division
Nebraska Department of Insurance
402-471-4913
DOI.Licensing@Nebraska.gov

Pre-Need Forms

Pre-Need Seller Annual Report – Instructions
Pre-Need Seller Annual Report – Fillable Form
Sample Worksheet for Listing of Individual Accounts
Change in Ownership Form
Company Personnel Change Form

Forms Contact Information
Pre-Need Examiner
Nebraska Department of Insurance
402-471-4659
DOI.Preneed@Nebraska.gov