Two forms are required to register for the program: one to be completed by the applicant and one by the applicant's physician. You may obtain application forms in any of the following ways:
The completed application should to be returned to FBA Nebraska. There are several methods of submitting the application:
The individual can mail or fax the completed application to the address below. Please include a photo smaller than 1 inch by 1 inch to be used on the ID card. An ID card and program information will then be mailed to the individual.
Please contact FBA Nebraska if you have questions. Office hours are 8 a.m. to 4:30 p.m., Monday through Friday.