Official Nebraska Department of Labor | WOTC User Application Form

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REEMPLOYMENT SERVICES
UNEMPLOYMENT INSURANCE
LABOR DATA
BUSINESSES
LABOR STANDARDS
WORKPLACE SAFETY
CONTACT US
NEWS

WOTC User Application Form

FEIN:

Company Name:

Mailing Address:

Address 2:

City:

State:

Zip:

Contact Information:

Name:

Email:

Phone:

Equal Opportunity Program/Employer TDD: 800.833.7352 TTY 402-471-0016 (For Assistance with Unemployment Insurance) Auxiliary aids and services are available upon request to individuals with disabilities.

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