Note: A user can enter information directly into this form using the computer then print the completed form or can print the form and complete it with pen. All applications should be sent to the Nebraska Talking Book and Braille Service. You can fax your application to 1-402-471-6244, email a scanned copy of your application to nlc.talkingbook@nebraska.gov, or mail your application to Talking Book and Braille Service, The Atrium, 1200 N St, Ste 120, Lincoln, NE 68508-2023. Note Also: Records relating to recipients of Library of Congress reading material are confidential.
Note: Eligibility must be certified by one of the following: doctor of medicine, doctor of osteopathy, ophthalmologist, optometrist, psychologist, registered nurse, therapist, or professional staff of hospitals, institutions, and public or welfare agencies (such as an educator, social worker, case worker, counselor, rehabilitation teacher, certified reading specialist, school psychologist, superintendent, or librarian).
Note: Please choose up to ten subjects from the nonfiction and fiction subjects listed below.