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 - Individual Trust
- Pre-Need Seller Annual Report - Master Trust
- 2022 Pre-Need Individual Annual Statement Information
- 2022 Pre-Need MTA Annual Statement Information
- 2022 Sample Pre-Need Individual Annual Statement
- 2022 Sample Pre-Need MTA Annual Statement
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