Register - Contract Service Provider

⚠If you forgot your username or password, DO NOT create a new account. Please login with your existing username and password. I forgot my username or password.

Are you registering for another location to your account?

Yes No

Do you intend to provide services to Nebraska Students?

Online Registration is only for Service Providers of Nebraska kids.

Yes No

Are you an ESU?

Educational Service Units must apply through a different process.
Please contact the Nebraska Department of Education, Special Education office. 402-471-2471

Yes No

Are you an Agency Provider or an Individual Service Provider?

Agency Individual

Are you a residential facility for students who are placed in your facility as a Ward of the Court or Ward of the State?

Yes No

Is the facility located in the State of Nebraska?

Yes No

Are you only providing para professional services?

Yes No

Is the facility located in the State of Nebraska?

Not Eligible

Yes No

What kind of setting will you be providing your services in?

Classroom One to One Both

Is the facility located in the State of Nebraska?

Yes No

Is the entity approved or accredited by the State Board of Education as a Rule 18 School?

Yes No

Do you have a contract to provide services with a school district (or will be entering into a contract upon approval) within the district boundaries?

Not Eligible

Yes No

Is the facility located in the State of Nebraska?

Yes No

Do you have licensure/certificate issued by the state of Nebraska or a National Board Certification?

Not Eligible.

Yes No

Are you providing services to students who have been directed to use your services through the State of Nebraska court system as a Ward of the Court or Nebraska Department of Health and Human Services Ward of the State, but NOT a Rule 18 school?

Yes No