220 Neb. Admin. Code, ch. 11, § 003

Current through September 17, 2024
Section 220-11-003

An application for review and redetermination shall include the following:

A. The name, address, and official position of the person filing the application;
B. The name, address, and identification number of the employer; and
C. An explanation of the question involved, the reasons for seeking the review and redetermination, and the relief sought.

220 Neb. Admin. Code, ch. 11, § 003