*The physical location of this business in Nebraska is: select one

The same as the mailing address above
No physical location in Nebraska - please explain
Different from mailing address, click on ADD to provide ALL physical addresses
If Out of State employer, are services of workers performed in Nebraska?	Yes No
*Are you an employee leasing company/PEO?	Yes No

If yes, your client's Nebraska workers and wages must be reported under their established Nebraska Unemployment Insurance account or you must complete this application with your client's information to establish an account in Nebraska.