Applications must be submitted in paper form and include the original signature of the certifying authority. FAX or electronic submissions
can not be accepted.
Individuals Living in
Nebraska
Submit an Individual Application Form.
Example:
Individuals living in their own homes, with family members, or independently in assisted
living centers.
Nebraska Facilities
Submit a Facility Application Form.
Example:
Individuals living in or receiving service through nursing homes, hospitals, assisted
living centers, senior citizen centers. If individual residents prefer to receive service directly (in their own name), they
need to submit an Individual Application Form.
Nebraska Schools
Submit a Facility Application Form and a
Student Enrollment Form.
Also submit an Individual Application Form
for each student new to talking books. Both these forms need to be submitted only once. A medical doctor or doctor of osteopathy must sign applications for students with
reading disability.
Here is a promotional video about our Nebraska Schools and Students service.
Also at the beginning of each subsequent school year, submit an
Annual School
Enrollment Form to show which students will be receiving talking book service during
that particular year.
Additional Applications
Nebraska Talking Book and Braille Service also offers a limited Collection of Descriptive Videos for loan. If interested in receiving these videos, anyone who qualifies for our service may fill out a video registration form in addition to the application for service above. You must complete both the application for service and the Descriptive Video Registration Form to receive videos.
After you have signed up for Talking Book Service, please inquire about our
Braille and Audio Reading Download System (BARD).
The BARD website has thousands of audio files of recorded books and magazine
issues available for download. These audiobooks can be played using the NLS
Digital Players we furnish our patrons.
The forms listed above are in PDF (portable document format). Acrobat Reader
(version five and higher) provides text access to these forms. A user can enter
information directly into the form using the computer then print the
completed form
or print the form and complete it with pen.
Get the free Adobe Reader
or Contact us, and we will send you an
application form via the U.S. Postal Service. Please make sure you include a
postal address in email or voicemail requests.