Online W4N Form

  • Click the link to online W4N form

  • Print the W4N Employment Eligibility Verification Form Via the PDF link

  • Complete the yellow, highlighted sections of your W4N Employment Eligibility Verification Form 

  • Submit the form with the following options

  1. Email to info@nebraskacarestaffing.com

  2. Fax to 402-379-5593

  3. Take a photo and text it to 402-689-9766