Connect Community Membership Registration 

Please Complete and Submit the Provided Registration Form*

Our team will email you with further instructions.

*This form is only required for Connect Community membership.

Conflict Check Form for Connect Community Applicants

In order for us to provide what we believe is a public service to Nebraska, we are required to review your interest to determine whether we have a conflict of interest or potential conflict of interest in granting you access to our platform. Thank you for your patience as we try to protect all guardians, conservators and other surrogate decision-makers.