Official Website of the State of Nebraska

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Nebraska Commission for the Deaf and Hard of Hearing

Hard of Hearing Identification Card Application

General Information

I am / have: Please select the one that best describes you

To communicate effectively, I need : You may check up to 6 options.

None of these work perfectly, so if I still miss key words or instructions, please write them on a piece of paper for me.

I am entitled to a qualified interpreter for emergency medical proceedings and for police proceedings under the Americans with Disabilities Act and Nebraska statutes.

Contact NCDHH to find an interpreter by calling 800-545-6244, or www.ncdhh.ne.gov

This card will need to be printed in landscape view.


None of these work perfectly, so if I still miss key words or instructions, please write them on a piece of paper for me. I am entitled to a qualified interpreter for emergency medical proceedings and for police proceedings under the Americans with Disabilities Act and Nebraska statutes. Contact NCDHH to find an interpreter by calling 800-545-6244, or www.ncdhh.ne.gov
Hello, my name is and I am / have:

EMERGENCY CONTACT