Try for free

Nebraska Form 458B: Homestead Disability Certification

Nebraska homestead exemption applicants who qualify through disability rather than age attach this certification to Form 458 and Schedule I. A qualified licensed medical practitioner checks whether the applicant is a wartime veteran totally disabled by a non-service-connected illness or accident (category 2) or has a qualifying permanent mobility or arm disability (category 3). The county assessor uses it to decide eligibility.

Who completes it

The applicant fills in name, county, address and Social Security number and signs a medical-information release. A physician, PA or APRN completes lines a through f, signs, and adds an NPI; category 6 (developmental disability) is certified only by the Deputy Director of the DHHS Division of Disability and Aging.

Submitting and payment

How to submit it
Return the signed form to the applicant, who attaches it to Form 458 and Schedule I and files them with the county assessor after February 1 and on or before June 30.
Who pays
Form 458B lists no fee, billing code or state payment for the practitioner's certification.

Good to know

  • The disability must exist on January 1 of the application year, and the form certifies only the applicant, not a spouse or another owner-occupant of the home.
  • Category 3 lines cover lost mobility so that locomotion requires a mechanical aid or prosthesis, permanent partial disability of both arms over 75%, or amputation of both arms above the elbow.
  • Receiving SSDI does not qualify an applicant by itself; Nebraska decides categories 2, 3 and 6 without regard to SSDI status.
  • If a medical practitioner signs the category 6 section, the application is denied. The county name must be filled in to authorize the health-information release.

Get the official form

Download the current version from the source each time; forms change without notice.

Certification of Disability for Homestead Exemption

Official pagePDF

How this list is checked

A form is listed only after its name and number were confirmed on the issuing agency’s or insurer’s own website, or in the form itself. Each entry links to that source. The list was last checked in October 2026. Forms and their requirements change without notice, so check the official page for the current version before you complete one.

Vero is not affiliated with, or endorsed by, the agencies and insurers listed here. Read our editorial policy.

Frequently asked questions

Who can sign Nebraska Form 458B?

For categories 2 and 3, a qualified licensed medical practitioner: a physician, physician assistant or advanced practice registered nurse, who must include a National Provider Identifier. Category 6, developmental disability, can only be certified by the Deputy Director of the Division of Disability and Aging at DHHS; a practitioner's signature there leads to denial.

What does line f on Form 458B mean?

Line f lets the practitioner state that the applicant does not meet any of the category 2 or 3 disabilities listed above it. The certification covers either the disability indicated or line f being true, so the practitioner signs after examining the applicant whichever answer applies.

When is Form 458B filed?

It is attached to the Nebraska Homestead Exemption Application, Form 458, and the Schedule I income statement, then filed with the county assessor after February 1 and on or before June 30. Applicants who miss June 30 because of a hospital stay or incapacity can use Form 458L for a late filing.