Online W4N Form

• Click the link to online W4N form

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

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

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• 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