Official Nebraska Government Website    Nebraska State Treasurer Don Stenberg   
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Attention: These forms are for use by State Agencies only.

Instructions:
  • Click on the link to the necessary form(s) below.
  • You may save a copy to your computer's hard drive or on your desktop.
  • Print out the forms to complete, same as previous procedures.
  • There are very minor updates to the forms from the triplicate versions previously supplied by our office.
  • Be sure to complete all three (3) forms in BLUE INK for the most accurate and timely processing at the bank.
  • Make copies as needed by your office, and forward the ORIGINAL as was done with previous procedures.
Click here for the:

Forgery Affidavit | Forgery Supplementary Statement | Forgery Writing Sample

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