400 Neb. Admin. Code, ch. 1, § 003
An applicant or person seeking admission on behalf of another person must submit an application in proper form.
Written consents for release of medical information and release of financial information sufficient to enable a Home to obtain current information from time to time respecting the member or his/her spouse or dependent child(ren) must be furnished to the Home by the member or his/her spouse or dependent child(ren) and/or legal representative.
A member's spouse or dependent child who seeks support must provide the Home and the Secretary with a signed Financial Statement in proper form including a list of all income, expenses as allowed by the Board, and assets.
A spouse, other relative, legal representative or other fiduciary of a member has the same duties to the Department as the member with respect to provision of information respecting the member's financial affairs as requested.
Failure to provide accurate and complete information on the application to the Home may result in denial of the application and/or subsequent discharge from the Home.
400 Neb. Admin. Code, ch. 1, § 003