NUSF Remittance Information - NUSF Forms - NUSF Lists
Remittance System Guidance
- Remittance System Cover Memo - New Carriers
- Remittance System Onboarding Form
- Remittance System Authorization Form - (Carrier/Third-Party Filer(s) Add or Change Requests)
- Change of Contact Form
- Late Remittance Policy & Procedures
- How do I reset my password?
Online Reporting Guidance
- Access to Online Remittance Reporting Website
- Gov2Go Subscriber Website
- Payment Authorization Form - State of Nebraska W-9 & ACH Enrollment Form
Email Questions
Pre-Paid Wireless Surcharge Guidance (Collected at Point of Sale)
- Nebraska Department of Revenue Prepaid Wireless Surcharge Website Guidance
- Neb. Rev. Stat. § 86-903 - Prepaid wireless surcharge; determination; Department of Revenue; duties; collection; disclosure; liability of consumer
Remittance Worksheet Guidance
Forms
- Payment Authorization Form - State of Nebraska W-9 & ACH Enrollment Form
- Template NPSC Earn Form 2025
- Affidavit Regarding the Use of Prohibited Communications Equipment Form
- Broadband Adoption Report Form
- Nebraska Broadband Program Reimbursement Template
- NUSF-57 Telehealth Application
- E-Rate/NUSF-117 Application Form
Lists
NUSF- 4 Advisory Board Information