Confirm Payment Information
Adding funds to Phone Number.
Payment Amount:
$10
$15
$20
$25
$50
$100
No Exisiting Pay Method(s):
Use New Method:
Credit Card:
Card Number:
Please enter a valid card number.
Brand:
American Express
Visa
MasterCard
Discover
Exp:
Please select the card's expiration date.
CVV2:
Please enter the card's 3 or 4 digit security code.
Remember this info:
Default?
First Name:
Please provide your first name.
Last Name:
Please provide your last name.
Card Billing Address:
Please provide a valid billing address.
City:
Please provide a valid city.
State:
Alabama (AL)
Alaska (AK)
Arizona (AZ)
Arkansas (AR)
California (CA)
Colorado (CO)
Connecticut (CT)
Delaware (DE)
Florida (FL)
Georgia (GA)
Hawaii (HI)
Idaho (ID)
Illinois (IL)
Indiana (IN)
Iowa (IA)
Kansas (KS)
Kentucky (KY)
Louisiana (LA)
Maine (ME)
Maryland (MD)
Massachusetts (MA)
Michigan (MI)
Minnesota (MN)
Mississippi (MS)
Missouri (MO)
Montana (MT)
Nebraska (NE)
Nevada (NV)
New Hampshire (NH)
New Jersey (NJ)
New Mexico (NM)
New York (NY)
North Carolina (NC)
North Dakota (ND)
Ohio (OH)
Oklahoma (OK)
Oregon (OR)
Pennsylvania (PA)
Rhode Island (RI)
South Carolina (SC)
South Dakota (SD)
Tennessee (TN)
Texas (TX)
Utah (UT)
Vermont (VT)
Virginia (VA)
Washington (WA)
West Virginia (WV)
Wisconsin (WI)
Wyoming (WY)
Please provide a valid state.
Zip:
Please provide a valid zip code.
Country:
Afghanistan (AF)
Albania (AL)
Algeria (DZ)
American Samoa (AS)
Andorra (AD)
Angola (AO)
Anguilla (AI)
Antarctica (AQ)
Antigua and Barbuda (AG)
Argentina (AR)
Armenia (AM)
Aruba (AW)
Australia (AU)
Austria (AT)
Azerbaijan (AZ)
Bahamas (BS)
Bahrain (BH)
Bangladesh (BD)
Barbados (BB)
Belarus (BY)
Belgium (BE)
Belize (BZ)
Benin (BJ)
Bermuda (BM)
Bhutan (BT)
Bolivia (BO)
Bosnia and Herzegovina (BA)
Botswana (BW)
Bouvet Island (BV)
Brazil (BR)
British Indian Ocean Territory (IO)
Brunei Darussalam (BN)
Bulgaria (BG)
Burkina Faso (BF)
Burundi (BI)
Cambodia (KH)
Cameroon (CM)
Canada (CA)
Cape Verde (CV)
Cayman Islands (KY)
Central African Republic (CF)
Chad (TD)
Chile (CL)
China (CN)
Christmas Island (CX)
Cocos (Keeling) Islands (CC)
Colombia (CO)
Comoros (KM)
Congo (CG)
Congo, the Democratic Republic of the (CD)
Cook Islands (CK)
Costa Rica (CR)
Cote D'Ivoire (CI)
Croatia (HR)
Cuba (CU)
Cyprus (CY)
Czech Republic (CZ)
Denmark (DK)
Djibouti (DJ)
Dominica (DM)
Dominican Republic (DO)
Ecuador (EC)
Egypt (EG)
El Salvador (SV)
Equatorial Guinea (GQ)
Eritrea (ER)
Estonia (EE)
Ethiopia (ET)
Falkland Islands (Malvinas) (FK)
Faroe Islands (FO)
Fiji (FJ)
Finland (FI)
France (FR)
French Guiana (GF)
French Polynesia (PF)
French Southern Territories (TF)
Gabon (GA)
Gambia (GM)
Georgia (GE)
Germany (DE)
Ghana (GH)
Gibraltar (GI)
Greece (GR)
Greenland (GL)
Grenada (GD)
Guadeloupe (GP)
Guam (GU)
Guatemala (GT)
Guinea (GN)
Guinea-Bissau (GW)
Guyana (GY)
Haiti (HT)
Heard Island and Mcdonald Islands (HM)
Holy See (Vatican City State) (VA)
Honduras (HN)
Hong Kong (HK)
Hungary (HU)
Iceland (IS)
India (IN)
Indonesia (ID)
Iran, Islamic Republic of (IR)
Iraq (IQ)
Ireland (IE)
Israel (IL)
Italy (IT)
Jamaica (JM)
Japan (JP)
Jordan (JO)
Kazakhstan (KZ)
Kenya (KE)
Kiribati (KI)
Korea, Democratic People's Republic of (KP)
Korea, Republic of (KR)
Kuwait (KW)
Kyrgyzstan (KG)
Lao People's Democratic Republic (LA)
Latvia (LV)
Lebanon (LB)
Lesotho (LS)
Liberia (LR)
Libyan Arab Jamahiriya (LY)
Liechtenstein (LI)
Lithuania (LT)
Luxembourg (LU)
Macao (MO)
North Macedonia (MK)
Madagascar (MG)
Malawi (MW)
Malaysia (MY)
Maldives (MV)
Mali (ML)
Malta (MT)
Marshall Islands (MH)
Martinique (MQ)
Mauritania (MR)
Mauritius (MU)
Mayotte (YT)
Mexico (MX)
Micronesia, Federated States of (FM)
Moldova, Republic of (MD)
Monaco (MC)
Mongolia (MN)
Montserrat (MS)
Morocco (MA)
Mozambique (MZ)
Myanmar (MM)
Namibia (NA)
Nauru (NR)
Nepal (NP)
Netherlands (NL)
Netherlands Antilles (AN)
New Caledonia (NC)
New Zealand (NZ)
Nicaragua (NI)
Niger (NE)
Nigeria (NG)
Niue (NU)
Norfolk Island (NF)
Northern Mariana Islands (MP)
Norway (NO)
Oman (OM)
Pakistan (PK)
Palau (PW)
Palestinian Territory, Occupied (PS)
Panama (PA)
Papua New Guinea (PG)
Paraguay (PY)
Peru (PE)
Philippines (PH)
Pitcairn (PN)
Poland (PL)
Portugal (PT)
Puerto Rico (PR)
Qatar (QA)
Reunion (RE)
Romania (RO)
Russian Federation (RU)
Rwanda (RW)
Saint Helena (SH)
Saint Kitts and Nevis (KN)
Saint Lucia (LC)
Saint Pierre and Miquelon (PM)
Saint Vincent and the Grenadines (VC)
Samoa (WS)
San Marino (SM)
Sao Tome and Principe (ST)
Saudi Arabia (SA)
Senegal (SN)
Serbia (RS)
Seychelles (SC)
Sierra Leone (SL)
Singapore (SG)
Slovakia (SK)
Slovenia (SI)
Solomon Islands (SB)
Somalia (SO)
South Africa (ZA)
South Georgia and the South Sandwich Islands (GS)
Spain (ES)
Sri Lanka (LK)
Sudan (SD)
Suriname (SR)
Svalbard and Jan Mayen (SJ)
Swaziland (SZ)
Sweden (SE)
Switzerland (CH)
Syrian Arab Republic (SY)
Taiwan, Province of China (TW)
Tajikistan (TJ)
Tanzania, United Republic of (TZ)
Thailand (TH)
Timor-Leste (TL)
Togo (TG)
Tokelau (TK)
Tonga (TO)
Trinidad and Tobago (TT)
Tunisia (TN)
Turkey (TR)
Turkmenistan (TM)
Turks and Caicos Islands (TC)
Tuvalu (TV)
Uganda (UG)
Ukraine (UA)
United Arab Emirates (AE)
United Kingdom (GB)
United States (US)
United States Minor Outlying Islands (UM)
Uruguay (UY)
Uzbekistan (UZ)
Vanuatu (VU)
Venezuela (VE)
Viet Nam (VN)
Virgin Islands, British (VG)
Virgin Islands, U.s. (VI)
Wallis and Futuna (WF)
Western Sahara (EH)
Yemen (YE)
Zambia (ZM)
Zimbabwe (ZW)
Montenegro (ME)
Kosovo (XK)
Aland Islands (AX)
Bonaire, Sint Eustatius and Saba (BQ)
Curacao (CW)
Guernsey (GG)
Isle of Man (IM)
Jersey (JE)
Saint Barthelemy (BL)
Saint Martin (MF)
Sint Maarten (SX)
South Sudan (SS)
Please provide a valid country.
Fees:
Estimated Taxes on Fees: (Enter Address)
Available for Calls:
Process Payment
Cancel
Submit Support Ticket
Ticket Subject:
Issue:
Create Ticket
Cancel
Home
Español
NCIC Customer Portal
Login
Add Money to NCIC Account
Nebraska
Nebraska Dept of Health and Human Services NE
Phone Number:
Please enter a valid phone number.
Account Selection
ADD funds to PERSONAL Account
Proceed