Administrative Services Forms and Documents
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- Transportation Services Bureau (TSB)
Administrative Services
Administrative Services - Annual Reports
| Description | Last Revised | Format |
|---|---|---|
| 2024 Annual Reports | ||
| 2024 Excellence In Leadership Program | 10/28/2024 | |
| 2024 Department of Administrative Services Annual Report | 09/25/2024 | |
| 2024 Nebraska State Health Insurance Plan Annual Report | 11/19/2024 | |
| 2024 State of Nebraska Personnel Almanac | External | |
| 2024 Sustainable Nebraska Report | 09/23/2024 | |
| 2023 Annual Reports | ||
| 2023 Department of Administrative Services Annual Report | 01/17/2024 | |
| 2023 Nebraska State Health Insurance Plan Annual Report | 11/21/2023 | |
| 2023 State of Nebraska Personnel Almanac | External | |
| 2023 Sustainable Nebraska Report | 10/31/2023 | |
| 2022 Annual Reports | ||
| 2022 Department of Administrative Services Annual Report | 03/01/2022 | |
| 2022 Nebraska State Health Insurance Plan Annual Report | 11/29/2022 | |
| 2022 State of Nebraska Personnel Almanac | External | |
| 2022 Sustainable Nebraska Report | 07/26/2022 | |
| 2021 Annual Reports | ||
| 2021 Department of Administrative Services Annual Report | ||
| 2021 Nebraska Environmental Trust (NET) Operations Assessment | 07/16/2021 | |
| 2021 State of Nebraska Personnel Almanac | External | |
| 2021 Sustainable Nebraska Report | 12/01/2021 | |
| 2020 Annual Reports | ||
| 2020 Department of Administrative Services Annual Report | 04/05/2021 | |
| 2020 State of Nebraska Personnel Almanac | External | |
| 2020 Sustainable Nebraska Report | 10/01/2020 | |
| 2019 Annual Reports | ||
| 2019 Department of Administrative Services Annual Report | 06/15/2020 | |
| 2019 State of Nebraska Personnel Almanac | External | |
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Administrative Services - Brand Guidelines
| Description | Last Revised | Format |
|---|---|---|
| State of Nebraska Administrative Services Brand Guidelines | 10/26/2016 |
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Administrative Services - Director's Desk
Return to Administrative Services
| ADMINISTRATIVE SERVICES - 2024 DIRECTOR'S DESK |
|---|
| Description | Last Revised | Format |
|---|---|---|
| Leadership Changes | 12/13/2024 | |
| Autumne Hovde Departure | 12/02/2024 | |
| Employee Recognition Month | 10/30/2024 | |
| Greetings | 10/16/2024 | |
| Director Jackson Farewell | 09/27/2024 | |
| 2024 Annual and Sustainability Reports | 09/26/2024 | |
| Recent State Building Division Achievements | 09/25/2024 | |
| Accounting Division Recent Successes | 09/05/2024 | |
| Showing Off the 501 Building | 08/29/2024 | |
| 2024 Personnel Almanac | 07/31/2024 | |
| DAS Leadership Changes | 07/19/2024 | |
| Statewide Safety Day | 07/09/2024 | |
| Eastern Nebraskans Veterans Home and Support for Veterans | 06/20/2024 | |
| 108th Legislature Successes | 04/02/2024 | |
| Supporting American Foreign Policy | 04/25/2024 | |
| Procurement Reforms to Accompany LB 461 | 04/10/2024 | |
| DAS Personnel Changes | 03/15/2024 | |
| Consolidating and Eliminating Agencies, Boards, and Commissions | 03/06/2024 | |
| Mentorship Recognition | 03/01/2024 | |
| Legislative Session Update | 02/26/2024 | |
| Procurement Reform (LB 461) | 02/20/2024 | |
| DAS 2024 Legislative Agenda | 01/27/2024 | |
| Smart Goals | 01/23/2024 | |
| State of the State | 01/22/2024 | |
| Materiel Division | 01/10/2024 | |
| Return to Office Executive Order FAQ | 01/08/2024 | |
| State Building Division | 01/03/2024 |
Return to the Administrative Services - Director's Desk
| ADMINISTRATIVE SERVICES - 2023 DIRECTOR'S DESK |
|---|
| Description | Last Revised | Format |
|---|---|---|
| Return to Office Executive Order | 12/21/2023 | |
| Annual Comprehensive Financial Report Submission | 12/20/2023 | |
| COE's Culmination | 11/21/2023 | |
| Governor's Executive Order on Normal Working Schedules | 11/14/2023 | |
| State of Nebraska Veterans Day | 11/09/2023 | |
| Public Servant Recognition and Excellence in Leadership | 11/06/2023 | |
| 2023 Sustainability Report | 10/31/2023 | |
| Personnel Almanac 2023 | 10/24/2023 | |
| DAS Budget Priorities | 03/23/2023 | |
| New Total Rewards Statement | 03/16/2023 | |
| 2022 Annual Report | 03/10/2023 | |
| State Youth Mentoring Program | 03/06/2023 | |
| Investing in our State Workforce | 02/23/2023 | |
| A Success Story in Continuous Improvement | 02/09/2023 | |
| Continuing to Build a Strong Nebraska | 01/31/2023 | |
| Building on a History of Service | 01/05/2023 |
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| ADMINISTRATIVE SERVICES - 2022 DIRECTOR'S DESK |
|---|
| Description | Last Revised | Format |
|---|---|---|
| An Unrivaled Dedication to Service | 11/16/2022 | |
| Honoring our Veterans | 11/14/2022 | |
| A Sustained Culture of Continuous Improvement | 11/01/2022 | |
| Foreign Procurement in State Government | 10/07/2022 | |
| 2022 State of Nebraska Personnel Alamanc | 08/05/2022 | |
| DAS Leadership Update | 08/05/2022 | |
| A More Efficient State Government | 08/03/2022 | |
| Recognizing ADA's 32nd Anniversary | 07/27/2022 | |
| Honoring Chief Standing Bear's Legacy | 07/26/2022 | |
| Another Successful End of Fiscal Year | 07/19/2022 | |
| Fallbrook State Office Building | 07/15/2022 | |
| Another Statewide Safety Day | 06/28/2022 | |
| Another Successful Open Enrollment | 06/03/2022 | |
| Cutting Red Tape At DAS | 05/19/2022 | |
| Exciting New Benefit for Our Teammates | 05/03/2022 | |
| Successful 2022 Legislative Session | 04/28/2022 | |
| DAS Leadership Announcement | 04/27/2022 | |
| 2022 Legislative Session | 04/14/2022 | |
| Impactful Nebraska Anniversaries | 03/21/2022 | |
| 2021 Annual Reports | 03/11/2022 | |
| Governor's 2022 State of the State Address | 01/25/2022 | |
| Serving our Customers and Teammates | 01/11/2022 |
Return to the Administrative Services - Director's Desk
| ADMINISTRATIVE SERVICES - 2021 DIRECTOR'S DESK |
|---|
| Description | Last Revised | Format |
|---|---|---|
| New and Historic Benefits for State Teammates | 12/10/2021 | |
| Sustainable Nebraska State Government | 12/02/2021 | |
| Important DAS Leadership Announcement | 11/30/2021 | |
| Most Military and Veteran-Friendly State in the Country | 11/12/2021 | |
| Recognizing Our Teammates | 11/05/2021 | |
| COE Month in Nebraska | 10/28/2021 | |
| Honoring Nebraska's Military History | 10/14/2021 | |
| State Personnel Almanac | 10/01/2021 | |
| State Honors POW/MIA Service Members | 09/24/2021 | |
| Inaugural Meeting for the Nebraska Commission on African American Affairs | 07/20/2021 | |
| End of Fiscal Year | 07/19/2021 | |
| End of COVID-19 State of Emergency | 07/17/2021 | |
| Successful 2021 Open Enrollment | 06/30/2021 | |
| Statewide Safety Day | 06/17/2021 | |
| Reconnecting Nebraska | 06/09/2021 | |
| Championing Renewable Fuels in Nebraska | 06/04/2021 | |
| Teammates Give Back to the Community | 05/27/2021 | |
| Consolidation Update | 05/14/2021 | |
| Mother’s Day Initiatives | 05/13/2021 | |
| State Building Division Real Estate Strategy | 04/29/2021 | |
| DAS Leadership Team Update | 04/28/2021 | |
| Military Spouse Transition Program | 04/16/2021 | |
| 2020 Annual Report | 04/13/2021 | |
| National Procurement Month and Procurement Concierge Program | 03/12/2021 | |
| 2020 Successes | 03/05/2021 |
Return to the Administrative Services - Director's Desk
Administrative Services - Latest News
- 2024 Latest News
- 2023 Latest News
- 2022 Latest News
- 2021 Latest News
- 2020 Latest News
- 2019 Latest News
Return to Administrative Services
| ADMINISTRATIVE SERVICES - 2024 LATEST NEWS |
|---|
| Description | Last Revised | Format |
|---|---|---|
| Autumne Hovde Departure | 12/02/2024 | |
| Employee Recognition Month | 10/30/2024 | |
| Lt. Gov. Kelly Recognizes the Work of Public Servants with 15-30 Years of Service | 10/25/2024 | External |
| Gov. Pillen Recognizes the Work of Public Servants with 30-60 Years of Service | 10/24/2024 | External |
| Public Servant Recognition in Kearney, North Platte, and Scottsbluff | 10/23/2024 | External |
| Greetings from DAS Director Lee Will | 10/16/2024 | |
| Director Will addresses the Norfolk Public Servant Recognition Ceremony | 10/11/2024 | External |
| Former DAS Director Jackson Addresses the Audience at the Omaha Public Servant Recognition Ceremony | 10/08/2024 | External |
| Governor Pillen Proclaims October Nebraska Public Servant Month | 10/07/2024 | External |
| Director Jackson’s Farewell Message | 09/27/2024 | |
| Lee Will Appointed Director of DAS | 09/26/2024 | External |
| 2024 Annual DAS Report | 09/25/2024 | External |
| State Land Can’t Be Placed in Easements | 09/25/2024 | External |
| 2024 Sustainability Report | 09/23/2024 | External |
| Ban on State Purchases of Lab-Grown Meat | 09/23/2024 | External |
| Swearing in of Michelle Potts and Autumne Hovde | 09/20/2024 | External |
| Ban on doing business with America’s enemies | 09/13/2024 | External |
| Governor Announces New Partnership with Army to Ease Transition to Civilian Life and Employment, Performs Oath of Enlistment for New Recruits | 09/12/2024 | |
| Ceremony Inaugurating State Government Partnership with the Army PaYS Program | 09/12/2024 | External |
| Do More Good Movement Interview with Director Jackson | 09/04/2024 | External |
| DAS Meets with History Nebraska Interim Director | 08/21/2024 | External |
| Welcome Autumne Hovde to the Team | 08/18/2024 | External |
| DAS Convened the Inaugural Asian American Commission Meeting | 08/12/2024 | External |
| 2024 Personnel Almanac is Out | 08/09/2024 | External |
| 2-year Anniversary of Chief Standing Bear Building dedication | 07/30/2024 | External |
| Director Jackson Signs Letter to Chairman Clements supporting DAS budget cuts | 07/29/2024 | External |
| Peru State ADA Improvements | 07/09/2024 | External |
| Michelle Potts Rejoins DAS | 07/02/2024 | External |
| Public Servant Safety Day was a Success | 06/28/2024 | External |
| Governor Pillen Proclaims Public Servant Safety Day | 06/25/2024 | External |
| Government Finance Officers Association awards Certificate of Achievement to State Accounting Division | 06/20/2024 | External |
| Boy Scouts Raise the flag for Flag Day | 06/17/2024 | External |
| Girls State participants meet with Sarah Skinner | 06/10/2024 | External |
| Eastern Nebraska Veterans Home Ribbon Cutting | 06/07/2024 | External |
| Lincoln Food Bank Recognizes the Wellness and Benefits Team for Work on the Food Drive | 06/06/2024 | External |
| State Building Division and Gov Pillen celebrate the opening of the North Lincoln DMV Office | 06/06/2024 | External |
| State Food Drive Results | 05/10/2024 | External |
| Governor Pillen’s Email for Public Servant Recognition Day | 05/09/2024 | External |
| Gov. Pillen Officially Proclaims State Public Servant Recognition Day | 05/08/2024 | External |
| 108th Legislature Accomplishments | 05/02/2024 | |
| Supporting American Foreign Policy | 04/25/2024 | |
| History Nebraska Becomes a Code Agency | 04/11/2024 | External |
| Non-LB 461 Procurement Changes | 04/10/2024 | |
| Director Jackson signs the updated Procurement Manual for public servants | 04/03/2024 | External |
| DAS Personnel Changes | 03/15/2024 | |
| Materiel Division reaches $10 million in surplus sales to the community | 02/20/2024 | External |
| Director Jackson in favor of LB 1417 to streamline state government | 03/05/2024 | External |
| Director Jackson interviewed by CEO Magazine | 02/29/2024 | External |
| Director Jackson participates in the inaugural Youth Mentorship Recognition Ceremony | 02/28/2024 | |
| Director Jackson and State Building Administrator Brent Flachsbart finalize the Hastings land sale | 02/23/2024 | External |
| Director Jackson meets with Police Chief’s Association of Nebraska about Line of Duty Death Benefits | 02/22/2024 | External |
| National Guard Museum Lease Extended Through 2029 | 02/20/2024 | |
| Hastings Public Land Sale | 02/20/2024 | |
| DAS Praises Enactment of Comprehensive Procurement Reform | 02/13/2024 | |
| Director Jackson Testifies on Legislation to Prevent Contracting with Foreign Adversaries | 02/12/2024 | External |
| Director Jackson Testifies in Support of Broadening Workforce Opportunities | 02/06/2024 | External |
| Good Life, Great Careers Podcast Episode 18 featuring Director Jackson and Melissa Mayo | 02/06/2024 | External |
| Director Jackson Testifies on DAS Budget Justification | 02/05/2024 | External |
| Director Jackson Meets with Nebraska Police Officer’s Association about Line of Duty Death Benefits | 02/05/2024 | External |
| Director Jackson Testifies in Support of Making History Nebraska a Code Agency | 02/01/2024 | External |
| State Administrator Phil Olsen Testifies on behalf of occupational licensing reform efforts | 01/23/2024 | External |
| DAS Risk Management Saves $2 million in 2023 | 01/12/2024 | External |
| Good Life, Great Careers Podcast 17 featuring State Public Servant Trudy Clark and Mentee Keisha | 01/09/2024 | External |
| DAS State Building Division’s Publishes new Capitol Construction Manual | 01/03/2024 | |
| Columbus Public Land Sales | 01/02/2024 | |
| Beatrice Public Land Sales | 01/02/2024 |
Return to the Administrative Services - Latest News
| ADMINISTRATIVE SERVICES - 2023 LATEST NEWS |
|---|
| Description | Last Revised | Format |
|---|---|---|
| First Nebraska Volunteer Infantry Display Finished at First Nebraska Administrative Building | 12/28/2023 | External |
| DAS Launches State Procurement Certification Program | 12/26/2023 | External |
| State Building Division Releases Updated Real Estate Strategy | 12/22/2023 | External |
| The DAS 2023 Annual Report is out! | 12/22/2023 | External |
| DAS to Sell O’Neill Armory to O’Neill Public Schools in Private Sale | 12/07/2023 | |
| The Health Insurance Annual Report is now available | 12/05/2023 | External |
| Grand Island Veterans Cemetery Groundbreaking | 11/16/2023 | External |
| Gov. Pillen closes out Public Servant Recognition Month | 10/24/2023 | External |
| The 2023 Sustainability Report is Now Available | 10/31/2023 | External |
| DAS Publishes 2023 State Personnel Almanac | 10/31/2023 | External |
| DAS Mourns the Passing of Larry Bare | 10/26/2023 | External |
| DAS Sends Letter on Eminent Domain to Chairman Brewer | 10/20/2023 | External |
| The New Leadership Academy Class Graduated | 10/18/2023 | External |
| Task Force for Building Renewal and The Building Maintenance Committee Visit Peru State College | 08/23/2023 | External |
| Meet Brent Flachsbart, the New State Building Division Administrator | 05/26/2023 | External |
| Meet Sean Davis, the new State Personnel Administrator | 05/24/2023 | External |
| Governor Pillen Signs Historic Agreement With State Troopers | 02/15/2023 | External |
| Governor Pillen, Corrections Office Union Reach Labor Agreement | 02/14/2023 | External |
| Director Jackson Wins Confirmation as DAS Director for Gov. Pillen | 02/14/2023 | External |
| Gov. Pillen Launches State Public Servant Mentoring Program | 02/08/2023 | External |
| Governor Pillen Declares February 'Nebraska Mentoring Month', Unveils New Initiative | 02/07/2023 | External |
| Governor Pillen, State Employee Union Celebrate Momentous Agreement | 02/01/2023 | External |
Return to the Administrative Services - Latest News
| ADMINISTRATIVE SERVICES - 2022 LATEST NEWS |
|---|
| Description | Last Revised | Format |
|---|---|---|
| Governor-Elect Pillen Announces Breakthrough Agreement With State Troopers | 12/21/2022 | External |
| DAS Recognizes 32nd Anniversary of the ADA | 07/26/2022 | |
| Gov. Ricketts and State Leaders Honor Chief Standing Bear | 07/21/2022 | External |
| Gov. Ricketts Cuts Ribbon on New Fallbrook State Office Building | 06/24/2022 | External |
| DAS Director Announces New Departmental Leadership Appointments | 05/20/2022 | |
| Gov. Ricketts Announces New Educational Benefit for State Teammates | 04/25/2022 | External |
| Groundbreaking Held for Eastern Nebraska Veterans’ Home Expansion | 03/22/2022 | External |
| Gov. Ricketts Highlights Growth of State’s Corrections Workforce | 03/07/2022 | External |
Return to the Administrative Services - Latest News
| ADMINISTRATIVE SERVICES - 2021 LATEST NEWS |
|---|
| Description | Last Revised | Format |
|---|---|---|
| State of Nebraska Honors Military and Veteran Teammates | 11/10/2021 | |
| Gov. Ricketts, Corrections Officer Union Celebrate Historic Compensation Agreement | 11/10/2021 | External |
| DAS Announces New Program Supporting First Responders | 10/27/2021 | |
| Nebraska’s Nation-Leading Pandemic Response | 10/26/2021 | External |
| Gov. Ricketts Highlights Operational Excellence Month | 11/25/2021 | External |
| Gov. Ricketts, State Employee Union Reach Historic Agreement | 10/08/2021 | External |
| Gov. Ricketts Dedicates State Building to First Nebraska Infantry Regiment | 09/30/2021 | External |
| Gov. Ricketts Declares State Will Permanently Fly the POW/MIA Flag | 09/16/2021 | External |
| DAS Director Congratulates SBD Administrator on Retirement | 06/02/2021 | |
| Gov. Ricketts Celebrates New Dept. of Economic Development Field Office in North Omaha | 04/28/2021 | External |
| Gov. Ricketts Provides Coronavirus Update and Highlights New Military Friendly Initiatives | 04/12/2021 | External |
| Gov. Ricketts, Ethanol Board Showcase UNL Research Demonstrating the Safety and Efficiency of E30 Biofuel | 03/08/2021 | External |
| Gov. Ricketts Highlights Expansion of State’s One Stop Business Licensing Portal | 02/10/2021 | External |
| Gov. Ricketts, State Employee Union Applaud New Contract | 01/21/2021 | External |
Return to the Administrative Services - Latest News
| ADMINISTRATIVE SERVICES - 2020 LATEST NEWS |
|---|
| Description | Last Revised | Format |
|---|---|---|
| Gov. Ricketts Establishes Economic Development Field Office in North Omaha | 11/10/2020 | External |
| DAS Works to Honor Nebraska’s Veterans and Military Personnel | 11/10/2020 | |
| Gov. Ricketts Urges Nebraskans to Redouble Efforts to Stay Healthy | 11/05/2020 | External |
| Getting Better All the Time | 10/14/2020 | External |
| State of Nebraska Charitable Giving Campaign to Focus on COVID-19 Response | 09/03/2020 | |
| DAS Director Announces New State Personnel Director | 08/26/2020 | |
| DAS Director Announces New 309 Task Force for Building Renewal Administrator | 08/26/2020 | |
| DAS Director Announces New State Building Division Administrator | 08/26/2020 | |
| State of Nebraska Deeds Former Grand Island Veterans’ Home to City of Grand Island | 07/15/2020 | |
| Gov. Ricketts Reviews Regional Directed Health Measures, Unveils Mother-Friendly Initiatives for State Teammates | 05/28/2020 | External |
| State Providing Needed Coronavirus Supply Relief | 05/04/2020 | External |
| Gov. Ricketts Proclaims “21 Days to Stay Home and Stay Healthy” and Unveils Six Rules to Keep Nebraska Healthy | 04/09/2020 | External |
| Gov. Ricketts Announces Extended Tax Deadline, Overviews the State’s Continuity Plans | 03/23/2020 | External |
| DAS Announces Plan for New Office Building for State in Downtown Lincoln | 01/30/2020 | External |
Return to the Administrative Services - Latest News
| ADMINISTRATIVE SERVICES - 2019 LATEST NEWS |
|---|
| Description | Last Revised | Format |
|---|---|---|
| Gov. Ricketts, Corrections Officer Union Applaud New Compensation Plan | 12/27/2019 | External |
| DAS Announces New Investments in State Building Accessibility | 10/31/2019 | |
| Gov. Ricketts Highlights Process Improvement Successes in State Government | 10/28/2019 | External |
| Instilling a Culture of Continuous Improvement | 10/28/2019 | External |
| Gov. Ricketts Highlights Process Improvement Successes in State Government | 09/26/2019 | External |
Return to the Administrative Services - Latest News
Director's Office
Director's Office - ADA Task Force
| ADA TASK FORCE |
|---|
| Information related to the State of Nebraska support of the Americans with Disabilities Act. |
| Description | Last Revised | Format |
|---|---|---|
| ADA Grievance Process | Online | |
| ADA Notice | Online | |
| ADA Task Force Charter | 07/21/2022 |
Director's Office - Continuity Administration
| CONTINUITY ADMINISTRATION FORMS AND DOCUMENTS |
|---|
| Information related to the Continuity of Operations Program, development and maintenance of agency continuity plans, and mitigation of risks to increase operational resilience. |
| Description | Last Revised | Format |
|---|---|---|
| Continuity Administration SharePoint Site | Online |
Director's Office - Public Guidance Documents, Rules and Regulations
| PUBLIC GUIDANCE DOCUMENTS, RULES AND REGULATIONS |
|---|
| State agencies are required by Neb. Rev. Stat. § 84-901.03 to post guidance documents on the agency’s website. Additionally, agencies are required to publish an index summarizing the subject matter of such guidance documents and all applicable rules and regulations. |
| Description | Last Revised | Format |
|---|---|---|
| Public Guidance Documents, Rules and Regulations | Online | |
| Public Guidance Document Request Form | 12/22/2016 |
State Accounting
| Internal Control Guidance |
|---|
| Internal Control Tools |
|
| Self-Assessment Tools |
| Other Tools |
| Master Lease Purchase Program |
|---|
| Purchasing Card Program |
|---|
|
Budget
| Publications |
|---|
|
Federal COVID-19 Supplemental Appropriation (April 2020 | YouTube) |
|
Federal COVID-19 Supplemental Appropriations PowerPoint (UPDATED June 3, 2020 | PDF) |
|
Funding Provided to Nebraska for COVID-19 (UPDATED June 3, 2020 | PDF) |
|
Initial Guidance for Local Government Requests for Reimbursement for COVID-19 Related Expenses (June 10, 2020 | PDF) |
|
COVID-19 Expenditure Tracking Memo PDF | April 2020 |
|
Federal Funding Guidance Memo to All Agencies, Boards and Commissions PDF | March 24, 2020 |
|
Federal Grant Award Summary Spreadsheet March 24, 2020 |
| Federal HHS COVID-19 Grant Awards |
| NASBO Website |
| NEMA – COVID-19 Status of Funds |
| Nebraska Coordinating Commission for Postsecondary Education – Postsecondary Education COVID-19 Related Information |
| U.S. Department of Treasury – Assistance for Small Businesses |
| Federal HHS COVID-19 Grant Awards |
| U.S. Department of Treasury - Coronavirus Relief Fund Information |
State Building
- 1526 Building FAQ
- Building Maintenance
- Capital Construction Manual
- Construction Services
- Conference Rooms
- Design Services and Planning
- Leasing
- Parking Services
- Vacant Building and Land (VBEL)
State Building - 1526 Building FAQ
| Description | Last Revised | Format |
|---|---|---|
| 1526 Building FAQ | Online | |
| State Building Division Visitor Parking Request Form | 05/17/2023 | External |
| State Building Division Parking Contact Information | 402-471-3191 | |
| 1526 Mother's Room Coordinator |
State Building - Building Maintenance
| Description | Last Revised | Format |
|---|---|---|
| Facility Maintenance Locations and Contact Information | Online | |
| Maintenance Request | External |
State Building - Capital Construction Manual
| Description | Last Revised | Format |
|---|---|---|
| Manual | ||
| Procedural Manual for Capital Construction Projects | 01/03/2024 | |
| Appendixes | ||
| APPENDIX A State of Nebraska Owner - Consultant Agreement for Major Capital Construction projects over the threshold (see appendix I) | ||
| APPENDIX B1 State of Nebraska Owner - Contractor Agreement for Major Capital Construction Projects | ||
| APPENDIX B2 General Conditions State of Nebraska Owner – Contractor Agreement to accompany Appendix B1 | ||
| APPENDIX C1 State of Nebraska Owner – Contractor Agreement for projects between $50,000 and threshold amount (see appendix I) | ||
| APPENDIX C2 General Conditions State of Nebraska Owner – Contractor Agreement to accompany Appendix C1 | ||
| APPENDIX D State of Nebraska Owner – Contractor Agreement less than $50,000 | 01/10/2024 | |
| APPENDIX E State of Nebraska Construction Contract Change Order | 01/10/2024 | |
| APPENDIX F Application and Certificate for Payment (AIA form G702) | 01/10/2024 | |
| APPENDIX G Certificate of Substantial Completion (AIA form G704) | 01/10/2024 | |
| APPENDIX H Nebraska Arts Council 1% for Art Regulations | 01/10/2024 | |
| APPENDIX I Capital Construction Thresholds - Inflationary Adjustments | 01/10/2024 | |
| APPENDIX J Current Open-Ended Agreement Consultants | 01/10/2024 | |
| APPENDIX K DAS Capital Construction Quarterly Progress Report Instructions | 01/10/2024 | |
| APPENDIX L Guidelines for Tree Removal/Replacement on State Lands | 01/10/2024 | |
| APPENDIX M Energy Code Compliance 2018 IECC / ASHRAE 90.1-2016 | 01/10/2024 | |
| APPENDIX N Budget Preparation Instructions for Capital Construction Projects | ||
| APPENDIX O Site and Structure Naming Procedures | 01/10/2024 | |
| APPENDIX P Capital Construction Emergency Contingency Fund | 01/10/2024 | |
State Building - Construction Services
| Description | Last Revised | Format |
|---|---|---|
| The American Plan Act of 2021 (ARPA) Cemetery Sediment Control and Stormwater | 08/06/2022 | |
| Project Request Form | 11/19/2021 |
| Description | Last Revised | Format |
|---|---|---|
| State Building Plan Room | External | |
| Builders Bureau, Lincoln, Nebraska | External | |
| Omaha Exchange Builders, Omaha, Nebraska | External |
State Building - Conference Rooms
| Description | Last Revised | Format |
|---|---|---|
| How to Reserve a Conference Room **If you need Internet access for a conference room contact OCIO, at 402.471.4636, prior to your reservation to setup access. |
04/05/2022 | |
| State Managed Conference Rooms | Online |
State Building - Design Services and Planning
| Description | Last Revised | Format |
|---|---|---|
| Design and Construction Manual | 09/24/2024 | |
| Project Request Form | Online | |
| Space Requirement Worksheet | 07/21/2020 | Excel |
| Design Standards Examples | 11/12/2020 | |
| Accomodations for Nursing Mothers in State Buildings | 09/19/2024 |
State Building - Leasing
| Description | Last Revised | Format |
|---|---|---|
| External Leasing Manual | 03/07/2012 | |
| Facility Use Manual | 09/24/2024 | |
| Lease Requisition Form (Blank) | 04/20/2015 | |
| Real Estate for Sale | Online | |
| Real Estate Strategy | 12/21/2023 |
State Building - Parking Services
| Description | Last Revised | Format |
|---|---|---|
| Parking Applications | ||
| State of Nebraska Parking Application | 05/01/2025 | Online |
| Bike Room Application | 03/17/2024 | |
| Visitor Parking Request Form | 03/29/2024 | |
| Parking Manual | 04/12/2024 | |
| Parking Rates and Fees | 03/18/2024 | |
| Tax Exemption Parking Plan | 12/09/2016 | |
| AVI Sticker Information | ||
| AVI Sticker Placement Instructions | 09/29/2011 | |
| Vehicles with Metallized Windshield List | 01/03/2014 | |
State Building - Vacant Buildings and Land (VBEL)
| Description | Last Revised | Format |
|---|---|---|
| DAS Policy 24-01 – Environmental Easement Reverter | 09/24/2024 | |
| DAS Policy 24-02 -- Foreign Adversaries Reversion Policy | 09/26/2024 | |
| Vacant Buildings and Excess Land (VBEL) Request Form | 08/25/2014 | |
| Vacant Buildings and Excess Land (VBEL) Quarterly Meeting Agenda | 10/18/2022 |
Employee Relations
Employee Relations - Discipline and Grievance
- NAPE/AFSCME - Discipline and Grievance
- FOP - Discipline and Grievance
- Classified - Discipline and Grievance
- State Law Enforcement - Discipline and Grievance
- SCATA - Discipline and Grievance
| NAPE/AFSCME COVERED EMPLOYEES GRIEVANCE PROCESS |
|---|
| Information and forms related to employee grievance process for NAPE/AFSCME covered employees. |
| Description | Last Revised | Format |
|---|---|---|
| The Leader's Guide to Discipline | 04/10/2020 | |
| NAPE/AFSCME Grievance Form | 05/15/2023 | |
| NAPE/AFSCME Discovery Request Form | 08/23/2023 | Word |
Return to Employee Relations - Discipline and Grievance
| FOP COVERED EMPLOYEES GRIEVANCE PROCESS |
|---|
| Information and forms related to employee grievance process for FOP covered employees. |
| Description | Last Revised | Format |
|---|---|---|
| The Leader's Guide to Discipline | 04/10/2020 | |
| FOP Covered Employee Grievance Form (Word Doc) | 07/08/2019 | Word |
| FOP Covered Employee Grievance Form (Fillable PDF) | 07/09/2019 |
Return to Employee Relations - Discipline and Grievance
| CLASSIFIED EMPLOYEES GRIEVANCE PROCESS |
|---|
| Information and forms related to employee grievance process for classified employees. |
| Description | Last Revised | Format |
|---|---|---|
| The Leader's Guide to Discipline | 04/10/2020 | |
| Classified Employee Grievance Flowchart | 07/21/2022 | |
| Classified Employee Grievance Form | 07/21/2022 |
Return to Employee Relations - Discipline and Grievance
| STATE LAW ENFORCEMENT GRIEVANCE PROCESS |
|---|
| Information and forms related to employee grievance process for State Law Enforcement employees. |
| Description | Last Revised | Format |
|---|---|---|
| The Leader's Guide to Discipline | 04/10/2020 | |
| State Law Enforcement Employee Grievance Form | 12/04/2013 |
Return to Employee Relations - Discipline and Grievance
| SCATA LABOR CONTRACT COVERED EMPLOYEES GRIEVANCE PROCESS |
|---|
| Information and forms related to employee grievance process for SCATA Labor Contract covered employees. |
| Description | Last Revised | Format |
|---|---|---|
| The Leader's Guide to Discipline | 04/10/2020 | |
| SCATA Covered Employee Grievance Form | 03/04/2024 | Word |
| SCATA Covered Employee Appeal Form | 07/09/2019 |
Return to Employee Relations - Discipline and Grievance
Employee Relations - Labor Contracts
- NAPE/AFSCME Labor Contracts
- FOP Labor Contracts
- SLEBC Labor Contracts
- SCATA Labor Contracts
- Classified System Personnel Rules and Regulations
- Labor Contracts Training
| NAPE/AFSCME LABOR CONTRACT PUBLICATIONS |
|---|
| Contract publications related to the Nebraska Association of Public Employees, Local 61 of the American Federation of State, County and Municipal Employees (NAPE/AFSCME). |
| 2025-2027 | ||
|---|---|---|
| Description | Last Revised | Format |
| 2025-2027 NAPE-AFSCME Labor Contract | 04/07/2025 | |
| 2025-2027 NAPE-AFSCME Guidance Document and Summary of Changes for the NAPE-AFSCME Labor Contract | 03/06/2025 | |
| 2025-2027 NAPE-AFSCME Labor Contract Alterations | 03/06/2025 | |
| 2025-2027 NAPE-AFSCME Step Pay Plan Appendix A | 04/07/2025 | |
| 2023-2025 | ||
|---|---|---|
| Description | Last Revised | Format |
| 2023-2025 NAPE-AFSCME Labor Contract | 04/07/2025 | |
| 2023-2025 NAPE-AFSCME Guidance Document and Summary of Changes for the NAPE-AFSCME Labor Contract | 02/21/2023 | |
| 2023-2025 NAPE-AFSCME Labor Contract Alterations | 10/18/2023 | |
| 2023-2025 NAPE-AFSCME Step Pay Plan Appendix A | 04/07/2025 | |
| 2021-2023 | ||
|---|---|---|
| Description | Last Revised | Format |
| 2021-2023 NAPE-AFSCME Labor Contract | 01/21/2021 | |
| 2021-2023 NAPE-AFSCME Summary of Changes for the NAPE-AFSCME Labor Contract | 01/20/2021 | |
| 2021-2023 NAPE-AFSCME Step Pay Plan Appendix A | 08/25/2022 | |
| 2021-2023 NAPE-AFSCME Classifications Subject to 30% Increase | 10/20/2021 | |
| 2021-2023 NAPE-AFSCME Classifications Subject to 20% Increase | 10/20/2021 | |
| 2021-2023 NAPE-AFSCME Classifications Subject to 2% Increase | 10/20/2021 | |
| 2021-2023 Letters of Agreement | ||
| 2021-2023 NAPE-AFSCME Letter of Agreement Guide | 10/22/2021 | |
| 2021-2023 NAPE-AFSCME Letter of Agreement FAQ | 10/22/2021 | |
| 2021-2023 04-2023 NAPE-AFSCME Letter of Agreement (April 2023) | 05/02/2023 | |
| 2021-2023 08-2022 NAPE-AFSCME Letter of Agreement (August 2022) | 08/10/2022 | |
| 2021-2023 06-2022 NAPE-AFSCME Letter of Agreement (June 2022) | 06/24/2022 | |
| 2021-2023 05-2022 NAPE-AFSCME Letter of Agreement (May 2022) | 05/31/2022 | |
| 2021-2023 10-2021 NAPE-AFSCME Letter of Agreement (October 2021) | 10/25/2021 | |
| 2021-2023 06-2021 NAPE-AFSCME Letter of Agreement (June 2021) | 07/09/2021 | |
| 2019-2021 | ||
|---|---|---|
| Description | Last Revised | Format |
| 2019-2021 NAPE-AFSCME Labor Contract | 05/06/2019 | |
| 2019-2021 Letters of Agreement | ||
| 2019-2021 01-28-2022 NAPE-AFSCME Letter of Agreement (January 28, 2022) | 01/28/2022 | |
| 2019-2021 01-04-2021 NAPE-AFSCME Supplemental Leave Letter of Agreement COVID-19 (January 4, 2021) | 01/04/2021 | |
| 2019-2021 04-2020 NAPE-AFSCME Letter of Agreement COVID-19 Administrative Leave (April 2020) | 05/08/2020 | |
| 2019-2021 10-2019 NAPE-AFSCME Letter of Agreement (October 2019) | 03/24/2020 | |
| 2019-2021 06-18-2019 NAPE-AFSCME Letter of Agreement (June 18, 2019) | 03/24/2020 | |
| 2019-2021 06-10-2019 NAPE-AFSCME Letter of Agreement (June 10, 2019) | 03/24/2020 | |
| Historical and Training Information | ||
|---|---|---|
| Description | Last Revised | Format |
| NAPE-AFSCME Contract Interpretations | 09/19/2022 | |
| Labor Contract between the State of Nebraska and NAPE/AFSCME 2019-2021 | 04/09/2020 | |
| Historical NAPE-AFSCME Labor Contracts | External | |
Return to Employee Relations - Labor Contracts
| FOP LABOR CONTRACT PUBLICATIONS |
|---|
| Contract publications related to the Fraternal Order of Police, Nebraska Protective Services, Lodge 88 (FOP 88). |
| 2025-2027 | ||
|---|---|---|
| Description | Last Revised | Format |
| 2025-2027 FOP Labor Contract | 03/06/2025 | |
| 2025-2027 FOP Guidance Document and Summary of Changes for the FOP Labor Contract | 03/06/2025 | |
| 2025-2027 FOP Labor Contract Alterations | 03/06/2025 | |
| 2025-2027 FOP Step Pay Plan Appendix A | 03/06/2025 | |
| 2023-2025 | ||
|---|---|---|
| Description | Last Revised | Format |
| 2023-2025 FOP Labor Contract | 05/02/2023 | |
| 2023-2025 FOP Guidance Document and Summary of Changes for the FOP Labor Contract | 02/21/2023 | |
| 2023-2025 FOP Labor Contract Alterations | 02/03/2023 | |
| 2023-2025 FOP Step Pay Plan Appendix A | 02/21/2023 | |
| 2021-2023 | ||
|---|---|---|
| Description | Last Revised | Format |
| 2021-2023 FOP Labor Contract | 01/05/2021 | |
| 2021-2023 FOP Summary of Changes for the FOP Labor Contract | 01/20/2021 | |
| 2021-2023 FOP Step Pay Plan Appendix A | 06/15/2022 | |
| 2021-2023 Letters of Agreement | ||
| 2021-2023 FOP Letter of Agreement Guide | 12/02/2021 | |
| 2021-2023 FOP Letter of Agreement FAQ | 12/02/2021 | |
| 2021-2023 04-2023 FOP Letter of Agreement (April 2023) | 05/02/2023 | |
| 2021-2023 11-2021 FOP Letter of Agreement (November 2021) | 08/10/2022 | |
| 2019-2021 | ||
|---|---|---|
| Description | Last Revised | Format |
| 2019-2021 FOP Labor Contract | 01/29/2021 | |
| 2019-2021 Letters of Agreement | ||
| 2019-2021 FOP COVID-19 Administrative Leave Letter of Agreement (April 2020) | 05/08/2020 | |
| 2019-2021 01-2020 FOP Letter of Agreement (January 2020) | 03/24/2020 | |
| 2019-2021 08-2019 FOP Letter of Agreement (August 2019) | 03/24/2020 | |
| 2019-2021 07-2019 FOP Letter of Agreement (July 2019) | 03/24/2020 | |
| Historical and Training Information | ||
|---|---|---|
| Description | Last Revised | Format |
| Labor Contract between the State of Nebraska and Fraternal Order of Police, Nebraska Protective Service, Lodge 88 (FOP 88) 2019-2021 | 04/09/2020 | |
Return to Employee Relations - Labor Contracts
| SLEBC LABOR CONTRACT PUBLICATIONS |
|---|
| Contract publications related to the State Law Enforcement Bargaining Council (SLEBC). |
| 2025-2027 | ||
|---|---|---|
| Description | Last Revised | Format |
| 2025-2027 SLEBC Labor Contract | 03/06/2025 | |
| 2025-2027 SLEBC Guidance Document and Summary of Changes for the SLEBC Labor Contract | 03/06/2025 | |
| 2025-2027 SLEBC Labor Contract Alterations | 03/06/2025 | |
| 2025-2027 SLEBC Step Pay Plan Appendix E | 03/06/2025 | |
| 2023-2025 | ||
|---|---|---|
| Description | Last Revised | Format |
| 2023-2025 SLEBC Labor Contract | 08/07/2023 | |
| 2023-2025 SLEBC Guidance Document and Summary of Changes for the SLEBC Labor Contract | 02/21/2023 | |
| 2023-2025 SLEBC Labor Contract Alterations | 07/10/2023 | |
| 2023-2025 SLEBC Step Pay Plan Appendix E | 07/13/2023 | |
| 2021-2023 | ||
|---|---|---|
| Description | Last Revised | Format |
| 2021-2023 SLEBC Labor Contract | 01/19/2021 | |
| 2021-2023 SLEBC Summary of Changes for the SLEBC Labor Contract | 01/20/2021 | |
| 2021-2023 Letters of Agreement | ||
| 2021-2023 04-2023 SLEBC Letter of Agreement (April 2023) | 05/02/2023 | |
| 2019-2021 | ||
|---|---|---|
| Description | Last Revised | Format |
| 2019-2021 SLEBC Labor Contract | 06/17/2019 | |
| 2019-2021 Letters of Agreement | ||
| 2019-2021 01-2021 SLEBC Letter of Agreement (January 2021) | 01/20/2021 | |
| 2019-2021 12-2020 SLEBC COVID-19 Supplemental Leave Letter of Agreement (December 2020) | 12/31/2020 | |
| 2019-2021 04-2020 SLEBC COVID-19 Administrative Leave Letter of Agreement (April 2020) | 05/08/2020 | |
| 2019-2021 03-2020 SLEBC Letter of Agreement (March 2020) | 03/24/2020 | |
| Historical | ||
|---|---|---|
| Description | Last Revised | Format |
| Historical SLEBC Labor Contracts | External | |
Return to Employee Relations - Labor Contracts
| SCATA LABOR CONTRACT PUBLICATIONS |
|---|
| Contract publications related to the State Code Agencies Teachers Association (SCATA). |
| 2025-2027 | ||
|---|---|---|
| Description | Last Revised | Format |
| 2025-2027 SCATA Labor Contract | 03/06/2025 | |
| 2025-2027 SCATA Guidance Document and Summary of Changes for the SCATA Labor Contract | 03/06/2025 | |
| 2025-2027 SCATA Labor Contract Alterations | 03/06/2025 | |
| 2025-2027 SCATA Step Pay Plan Appendix A | 03/06/2025 | |
| 2023-2025 | ||
|---|---|---|
| Description | Last Revised | Format |
| 2023-2025 SCATA Labor Contract | 05/02/2023 | |
| 2023-2025 SCATA Guidance Document and Summary of Changes for the SCATA Labor Contract | 02/21/2023 | |
| 2023-2025 SCATA Labor Contract Alterations | 02/03/2023 | |
| 2023-2025 SCATA Step Pay Plan Appendix A | 02/21/2023 | |
| 2021-2023 | ||
|---|---|---|
| Description | Last Revised | Format |
| 2021-2023 SCATA Labor Contract | 01/19/2021 | |
| 2021-2023 SCATA Summary of Changes for the SCATA Labor Contract | 01/20/2021 | |
| 2021-2023 Letters of Agreement | ||
| 2021-2023 03-2023 SCATA Letter of Agreement (March 2023) | 05/02/2023 | |
| 2019-2021 | ||
|---|---|---|
| Description | Last Revised | Format |
| 2019-2021 SCATA Labor Contract | 05/03/2019 | |
| 2019-2021 Letters of Agreement | ||
| 2019-2021 12-2020 SCATA COVID-19 Supplemental Leave Letter of Agreement (December 2020) | 01/05/2021 | |
| 2019-2021 05-2020 SCATA COVID-19 Administrative Leave Letter of Agreement (May 2020) | 05/18/2020 | |
| Historical | ||
|---|---|---|
| Description | Last Revised | Format |
| Historical SCATA Labor Contracts | External | |
Return to Employee Relations - Labor Contracts
| CLASSIFIED SYSTEM PERSONNEL RULES AND REGULATIONS |
|---|
| All agencies and personnel of state government are considered subject to the State Personnel System except those identified in Neb. Rev. Stat. § 81-1316. Employees subject to certified Collective Bargaining Agreements as prescribed in Neb. Rev. Stat. § 81-1373 are not covered by these rules to the extent that wages, hours and other terms and conditions of employment are provided for by contract. |
| Description | Last Revised | Format |
|---|---|---|
| Title 273 Classified System Personnel Rules and Regulations | 01/22/2024 | |
| State Personnel Rules and Regulations Revised Rules FAQ | 04/27/2022 | |
| State Personnel Rules and Regulations Revision Webinar | 04/27/2022 | |
| Personnel Director Rules Memorandums | ||
| Personnel Director Rules Memorandum Facility Differentials and Other Benefits (July 2023) | 07/01/2023 | |
| Personnel Director Rules Memorandum Shift Differential and On Call (July 2024) | 07/01/2024 | |
| Personnel Director Rules Memorandum Mentor Program and Tricare (May 2023) | 05/03/2023 | |
| Personnel Director Rules Memorandum Tuition Reimbursement (May 2023) | 05/02/2023 | |
| Personnel Director Rules Memorandum Nursing (February 2023) | 02/06/2022 | |
| Personnel Director Rules Memorandum Moving Expenses (May 2022) | 05/02/2023 | |
| Personnel Director Rules Memorandum Maternity Leave Donation Program (July 2021) | 07/01/2021 | |
| Personnel Director Rules Memorandum Relieved from Duty (May 2024) | 05/09/2024 | |
Return to Employee Relations - Labor Contracts
| LABOR CONTRACTS TRAINING |
|---|
| State of Nebraska Personnel and Salary Publications, Statutes and Training Material. |
| Description | Last Revised | Format |
|---|---|---|
| Reduction in Force Template-NAPE 2024 | 08/23/2024 | Word |
| Reduction in Force Template-RULES 2024 | 08/23/2024 | Word |
| 2025-2027 Labor Contract Training | 05/07/2025 | Youtube |
| The Leader's Guide to Discipline | 04/10/2020 | |
| Discipline Training | 04/09/2020 | |
| Nebraska Personnel Almanacs | External | |
| Nebraska Salary Surveys | External | |
| Nebraska Revised Statutes | External |
Return to Employee Relations - Labor Contracts
Employee Relations - Leave and Workplace
- Catastrophic Illness Leave
- Family Medical Leave Act
- Maternity Leave Donation Program
- Leave and Workplace Training Material
| CATASTROPHIC LEAVE |
|---|
| Information and forms related to employee Catastrophic Leave. |
| Description | Last Revised | Format |
|---|---|---|
| Catastrophic Leave Donation Form | 05/12/2014 | |
| Catastrophic Leave Request Form | 05/12/2014 | |
| Catastrophic Leave Request FAQ | Link |
Return to Employee Relations - Leave and Workplace
| Family and Medical Leave Act (FMLA) FAQs |
|---|
| FAQs related to the Family and Medical Leave Act. |
| Description | Last Revised | Format |
|---|---|---|
| Family Leave Provisions of the FMLA FAQs | 08/26/2020 | |
| Military Provisions of Family Leave FAQs | 08/26/2020 |
| Family and Medical Leave Act Forms |
|---|
| The following fill-in forms can be filled out online. When complete, print out and submit to the agency HR representative. |
| Description | Last Revised | Format |
|---|---|---|
| Family and Medical Leave Information | 04/10/2020 | |
| Family and Medical Leave Request Form | 06/26/2015 | |
| Family and Medical Leave Employee Rights | 04/10/2020 | |
| Family and Medical Leave Insurance Coverage Form | 04/15/2011 | |
| Certification of Health Care Provider for Employee's Serious Health Condition Form | 10/07/2024 | |
| Certification of Health Care Provider for Family Member's Serious Health Condition Form | 10/07/2024 | |
| Certification for Serious Injury or Illness of a Current Servicemember - for Military Family Leave Form | 10/07/2024 | |
| Certification for Serious Injury of Illness of a Veteran for Military Caregiver Leave Form | 10/07/2024 | |
| Certification of Qualifying Exigency for Military Family Leave Form | 10/07/2024 |
| HR Agency Family and Medical Leave Act (FMLA) Forms |
|---|
| The following forms are for HR Agency use only, and do not need to be filled out by employees requesting leave. |
| Description | Last Revised | Format |
|---|---|---|
| Designation Notice Form | 10/07/2024 | |
| Notice of Eligibility and Rights and Responsibilities Form | 10/07/2024 |
Return to Employee Relations - Leave and Workplace
| MATERNITY LEAVE MATERIAL |
|---|
| Information and forms related to maternity leave. |
| Description | Last Revised | Format |
|---|---|---|
| Request Form for Maternity Leave Donation | 06/05/2018 | |
| Maternity Leave Donation Memo and Maternity Leave Donation Form | 09/30/2020 | |
| Maternity Leave Donation Program Overview | 01/13/2022 | PowerPoint |
Return to Employee Relations - Leave and Workplace
| LEAVE AND WORKPLACE TRAINING MATERIAL |
|---|
| Information and forms related to employee leave. |
| Description | Last Revised | Format |
|---|---|---|
| Leave Training | 04/09/2019 | |
| Family Medical Leave Act Roadmap | 04/09/2020 | |
| Family Medical Leave Training | 04/10/2020 | PowerPoint |
| Americans with Disabilities Act Training | 02/22/2011 | PowerPoint |
Return to Employee Relations - Leave and Workplace
DAS Human Resources
DAS Human Resources - Policies
| DAS HR - POLICIES AND PROCEDURES |
|---|
| Links to Employee Handbook and Recognition Program information. |
| Description | Last Revised | Format |
|---|---|---|
| DAS HR Shared Services Employee Handbook | 03/03/2023 |
DAS Human Resources - Shared Services
| DAS HR - HUMAN RESOURCES SHARED SERVICES (HRSS) |
|---|
| These forms are internally created for State of Nebraska Human Resources Shared Services (“HRSS”) and are intended for HRSS Customer Agencies only. No State of Nebraska Agency is required to use these forms unless otherwise instructed. |
| Description | Last Revised | Format |
|---|---|---|
| American's with Disabilities Act (ADA) Accommodations | ||
| Healthcare Provider Reasonable Accommodation Form | 11/30/2022 | |
| Reasonable Accommodation Checklist for Employees | 11/30/2022 | |
| Reasonable Accommodation Request Form | 06/06/2022 | |
| Family and Medical Leave (FMLA) and Leave without Pay (LWOP) | ||
| FMLA Information for Leaders | 11/30/2022 | |
| Medical Leave Request Form | 11/30/2022 | |
| Employee Medical Leave Request Checklist Guide | 11/30/2022 | |
| Off-boarding/Exiting Employee Information | ||
| Knowledge Transfer Questionnaire | 11/08/2022 | |
| Off-Boarding Process Workflow | 11/30/2022 | |
| Return of State Property Form | 11/08/2022 | |
| Employee Resignation Guide | 11/08/2022 | |
| Employee Retirement Guide | 11/08/2022 | |
| Employee Transfer Guide | 11/08/2022 | |
| On-boarding/New Hire Information | ||
| OnBoarding Process Workflow | 11/08/2022 | |
| Orientation Process Workflow | 11/30/2022 | |
| Welcome Packet | 10/07/2022 | Word |
| Payroll | ||
| 2024 Bi-Weekly Payroll Calendar | 10/17/2023 | |
| 2024 Monthly Payroll Calendar | 10/17/2023 | |
| 2023 Comp-Time or Overtime Election Form | 12/27/2022 | |
| Performance Management | ||
| Coaching Documentation Form Non Disciplinary | 07/22/2022 | |
| Direct Conversations Guide | 08/05/2021 | |
| Performance Management Checklist Leader | 11/30/2022 | |
| Non-Disciplinary Performance Improvement Plan PIP | 08/05/2021 | Word |
| Providing Effective Feedback Guide | 09/23/2021 | |
| Setting Expectations Guide | 11/17/2022 | |
| Recruitment | ||
| Advanced Hire Rate Request Workflow | 11/30/2022 | |
| Competency-Based Interview Question Collection | 09/13/2021 | Excel |
| New Requisition Questionnaire | 11/14/2023 | |
| New SOS Requisition Questionnaire | 05/13/2021 | Word |
| Recruitment Process Workflow | 11/30/2022 | |
| SOS Recruitment Process Workflow | 11/30/2022 | |
| Employee Resources | ||
| SMART Goals Guidance-Template | 07/30/2020 | Word |
| Tuition Reimbursement | ||
| Tuition Reimbursement Application | 11/30/2022 | |
| Tuition Reimbursement Checklist for Employees | 03/08/2023 | |
| Workday User Guides | ||
| Create and Monitor a Help Center Case User Guide | 11/07/2022 | |
| Finding Help Articles User Guide | 11/30/2022 | Word |
| Working out of Classification | ||
| Working Out of Class Request Form | 11/30/2022 | |
| Workplace Injury/Workers' Compensation | ||
| Employee Incident Report Form | 11/30/2022 | |
| Workability Form | 11/30/2022 | |
| Lost Hours Spreadsheet | 04/21/2021 | |
| Teammate Injury Checklist and Guide | 11/30/2022 | |
| Supervisor Investigation Report | 11/30/2022 | |
| Witness Report Form | 11/30/2022 | |
DAS Human Resources - Recruitment
| DAS HR - RECRUITMENT |
|---|
| Links to State of Nebraska Employment and Recruitment information. |
| Description | Last Revised | Format |
|---|---|---|
| Good Life, Great Opportunity Video | 03/01/2022 | YouTube |
| State of Nebraska - Leading in Benefits | Online | |
| Nebraska State Jobs | Online |
Materiel
Materiel - State Purchasing Bureau
- Policies and Procedures
- Other General Information
- Templates, Forms and Documents
- Cooperative Purchasing
- Government Procurement Act Report (§ 73-603)
- Purchase Order and Vendor Information Reports
- Vendor Information
- Vendor Performance Program
Materiel - State Purchasing Bureau - Policies and Procedures
| Description | Last Revised | Format |
|---|---|---|
| Unrestricted Open Market Purchase Authority Letter | 08/05/2024 | |
| State Contract Purchasing Letter | 04/01/2025 | |
| Non-Contract Reporting Spreadsheet ($500 - $4,999.99) | 04/01/2025 | Excel |
| State of Nebraska Procurement Manual | 07/19/2024 | |
Procurement Manual (applicable to RFP's posted between 11/21/2023 - 7/18/2024) |
11/20/2023 | |
| International Relations Policy | 03/07/2024 | |
| U.S. Flag Purchase Policy | 03/07/2024 | |
| SPB Policy 23-01 - PCard and Purchases under $5,000 | 08/16/2023 | |
| SPB Policy 24-01 - Procurement Certification Program | 05/16/2024 | |
| Procurement Certification Program (PCP) Guide: Step by Step Process for Workday Learning | 05/09/2024 | |
| PCP Refresher Training Deadline Extension Request Form | 05/08/2024 | |
| SPB Policy 24-02 - Contract Responsibility and Negotiations | 07/19/2024 | |
| SPB Policy 24-03 - Scoring and Evaluation | 07/19/2024 | |
| SPB Policy 24-04 - Contract Duration, Renewals and Extensions | 07/19/2024 | |
| SPB Policy 24-05 - Exceptions to Competitive Bidding | 07/19/2024 | |
| SPB Policy 23-07 - Protest Policy | 11/21/2023 | |
| SPB Policy 23-08 - Suspension and Debarment | 11/21/2023 | |
| SPB Policy 23-09 - Prohibition on Purchasing from Vendors that Boycott Israel | 11/29/2023 | |
| SPB Policy 24-06 - Alternative Competitive Bidding Processes | 07/19/2024 | |
| SPB Policy 24-07 - Application to Contract with Scrutinized Company | 07/19/2024 | |
| SPB Policy 24-08 - Responsibility and Responsiveness | 07/19/2024 | |
| SPB Policy 24-09 - Statewide Contract Designation | 07/19/2024 | |
| SPB Policy 24-10 - Lab-Grown Meat Sales | 09/23/2024 | |
| Contract Manager Handbook | 06/01/2019 | |
| Contract Administration Plan (CAP) | 01/27/2017 |
Return to Materiel - State Purchasing Bureau
Materiel - State Purchasing Bureau - Other General Information
| Description | Last Revised | Format |
|---|---|---|
| MISCELLANEOUS FORMS & DOCUMENTS | ||
| Request to Increase E1 Contract Quantity Form | 03/28/2018 | Excel |
| E1 Approval Route Worksheet | 12/02/2024 | Word |
| National Institute of Governmental Purchasing (NIGP) Codes | 07/18/2017 | Excel |
| Pre-Approved IT Items for Purchase (OCIO website) | 07/01/2022 | |
| Purchase Order Terms and Conditions | 08/19/2021 | |
| Market Research Powerpoint | 11/29/2016 | PowerPoint |
| Processing Time Goals | 11/02/2023 | |
| ODP SOLUTIONS / OFFICE DEPOT | ||
| ODP Business Solutions Website | External | |
| ODP Business Solutions Account Application | 10/08/2024 | |
| ODP Business Solutions User Guide | 08/01/2024 | |
| ODP Online Return Instructions | 08/16/2023 | |
| ODP Return Authorization Form | 08/16/2023 | |
| MOVING AND INSTALLATION SERVICES | ||
| Agency Instructions for Office Relocations | 09/21/2020 | |
| Moving and Installation Services Guide | 07/14/2017 | |
| Procurement Training Guide to Generate PO for Moving and Installation Services | 09/21/2020 | |
| Installation Services Quote Form - Example | 04/14/2017 | Excel |
| Moving Services Quote Form - Example | 04/26/2017 | Excel |
| Moving Services Quote Form | 01/07/2021 | Excel |
Return to Materiel - State Purchasing Bureau
Materiel - State Purchasing Bureau - Templates, Forms and Documents
| Description | Last Revised | Format |
|---|---|---|
| EXCEPTION REQUEST FORMS | ||
| How to Submit O8 Exceptions | 12/16/2024 | Video Guide |
| Exception Request - Sole Source or Restrictive (SPB Form 2) | 07/19/2024 | |
| Exception Request - Otherwise Competitively Bid (SPB Form 3) | 07/19/2024 | |
| Exception Request - GSA-Like Pricing (SPB Form 4) | 07/19/2024 | |
| Exception Request - Statewide Contract Use (SPB Form 5) | 07/19/2024 | |
| Exception Request - Under 15 Calendar Days (SPB Form 6) | 07/19/2024 | |
| Exception Request - Alternative Bid Process (SPB Form 7) | 07/19/2024 | |
| Exception Request - Direct Purchase Authority (SPB Form 8) | 07/19/2024 | |
| Exception Request - CSI Product (SPB Form 9) | 07/19/2024 | |
| Furniture Procurement Guide | 09/17/2024 | |
| Emergency Procurement Notice (SPB Form 10) | 07/19/2024 | |
| Scrutinized Company Application for Preapproval to Contract (SPB Form 12) | 07/19/2024 | |
| TEMPLATES | ||
| Request for Information (RFI) Template (Form S-2) | 09/26/2017 | Word |
| Request for Proposal (RFP) Template (SPB Form 22) | 12/16/2024 | Word |
Approved Cost Only Exception Request for Proposal (RFP) Template (SPB Form 71) |
12/16/2024 | Word |
| Invitation to Bid (ITB) Template (SPB Form 17) | 12/16/2024 | Word |
| PROCESSING TIMELINES | ||
| RFP Processing Timeline for Services | 11/02/2023 | Excel |
| Processing Timeline for Commodities/Goods | 11/02/2023 | Excel |
| SOLICITATION FORMS & DOCUMENTS | ||
| Pre-Agreement Outcome Tool (SPB Form 1) | 12/16/2024 | Word |
| Pre-Agreement Outcome Tool Criteria for Need | 12/16/2024 | |
| Request for Proposal (RFP) Submission Requirements (SPB Form 21) | 04/17/2025 | |
| Invitation to Bid (ITB) Submission Requirements (SPB Form 16) | 02/21/2025 | |
| Solicitation Evaluation Criteria (SPB Form 31) | 04/17/2025 | Word |
| Solicitation Vendor Announcement (SPB Form 24) | 07/19/2024 | Word |
| Solicitation Public Notice for Advertising - Journal Star/Beatrice Daily Sun (SPB Form 25) | 07/19/2024 | Word |
| Solicitation Conference Attendance Sheet (SPB Form 29) | 04/17/2025 | Word |
| Solicitation Conference Questions (SPB Form 30) | 07/19/2024 | Word |
| Solicitation Addendum - Questions and Answers (SPB Form 26) | 04/17/2025 | Word |
Solicitation Addendum - Rev. Schedule of Events (SPB Form 27) |
04/17/2025 | Word |
| Solicitation Addendum - Change in Scope (SPB Form 28) | 04/17/2025 | Word |
| Solicitation List of Respondents (SPB Form 34) | 04/17/2025 | Word |
| Best and Final Offer (BAFO) Letter (Form GS-12) | 05/01/2024 | |
| Solicitation Intent to Award Notice (SPB Form 42) | 04/17/2025 | Word |
| Award Instructions Letter (SPB Form 49) | 04/17/2025 | Word |
| Rejection of All Bids/Proposals (Form GS-15) | 05/01/2024 | Word |
| Procurement Timeline (SPB Form 57) | 07/19/2024 | Word |
| INFORMAL BIDS AND CONTROLLED ITEMS | ||
| Informal Bid - Request for Quote (Form G-5) | 05/01/2024 | Excel |
| EVALUATION & SCORING | ||
| RFP Evaluation and Scoring Manual for Services | 01/26/2017 | Word |
| Evaluator Agreement (SPB Form 32) - (formerly Conflict of Interest Declaration) | 12/16/2024 | Word |
| Procurement Collaborator Agreement (Form GS-3) | 11/20/2023 | Word |
| Solicitation Compliance Sheet (SPB Form 35) - (formerly Mandatory Minimum Requirements Checklist) | 12/16/2024 | Excel |
| Evaluator Scoring Worksheet (Form S-7) | 02/22/2024 | Word |
| Final Evaluation Document - All Variations (Form S-8) | 05/01/2024 | Excel |
| Cost Proposal Evaluation Worksheet (Form S-9) | 05/01/2024 | Excel |
| Oral Interview & Demo Letter (Form S-10) | 05/01/2024 | Word |
| Oral Interview Scoring Worksheet (Form S-11) | 05/01/2024 | Excel |
| Reference Check Worksheet | 10/01/2008 | Word |
| CONTRACT FORMS & DOCUMENTS | ||
| Contract Amendment - Date Change (SPB Form 50) | 02/28/2025 | Word |
| Contract Amendment - Header or Detail Change (SPB Form 51) | 02/28/2025 | Word |
| Contract Amendment - Vendor Reassignment (SPB Form 52) | 02/28/2025 | Word |
| Contract Amendment - Early Termination (SPB Form 72) | 02/28/2025 | Word |
| Participating Addendum Amendment - Date Change (SPB Form 60) | 02/28/2025 | Word |
| Participating Addendum Amendment - Header or Detail Change (SPB Form 61) | 02/28/2025 | Word |
| PROOF OF NEED ANALYSIS | ||
| Proof of Need Analysis Guide | 12/16/2024 | |
| Proof of Need Analysis Template | 12/16/2024 | Word |
| PERSONAL SERVICES GUIDE | ||
| Personal Services Guide | 08/29/2016 | Word |
| Approval of Contracts for Personal Services Rules & Regulations | 12/15/2021 | Online |
Return to Materiel - State Purchasing Bureau
Materiel - State Purchasing Bureau - Cooperative Purchasing
| Description | Last Revised | Format |
|---|---|---|
| MMCAP Infuse | External | |
| National Association of State Procurement Officials (NASPO) | External | |
| U.S. General Services Administration - GSA | External |
Return to Materiel - State Purchasing Bureau
Materiel - State Purchasing Bureau - Transparency in Government Procurement Act Report (§ 73-603)
| Description | Last Revised | Format |
|---|---|---|
| July 1, 2023 - June 30, 2024 | 10/10/2024 | |
| July 1, 2022 - June 30, 2023 | 09/05/2023 | |
| July 1, 2021 - June 30, 2022 | 09/01/2022 | |
| July 1, 2020 - June 30, 2021 | 09/01/2021 | |
| July 1, 2019 - June 30, 2020 | 04/14/2021 | |
| July 1, 2018 - June 30, 2019 | 09/19/2020 |
Return to Materiel - State Purchasing Bureau
Materiel - State Purchasing Bureau - Purchase Order and Vendor Information Reports
| Description | Last Revised | Format |
|---|---|---|
| 2025 | ||
| January 2025 - March 2025 | 03/31/2025 | |
| 2024 | ||
| Oct 2024 - Dec 2024 | 12/31/2024 | |
| July 2024 - Sept 2024 | 09/30/2024 | |
| April 2024 - June 2024 | 06/30/2024 | |
| January 2024 - March 2024 | 03/31/2024 | |
| 2023 | ||
| October 2023 - December 2023 | 12/31/2023 | |
| July 2023 - September 2023 | 11/16/2023 | |
| April 2023 - June 2023 | 07/28/2023 | |
| January 2023 - March 2023 | 07/28/2023 | |
| 2022 | ||
| October 2022 - December 2022 | 03/07/2023 | |
| July 2022 - September 2022 | 07/28/2023 | |
| April 2022 - June 2022 | 07/21/2022 | |
| January 2022 - March 2022 | 04/06/2022 | |
| 2021 | ||
| October 2021 - December 2021 | 04/06/2022 | |
| July 2021 - September 2021 | 04/13/2021 | |
| April 2021 - June 2021 | 08/05/2021 | |
| January 2021 - March 2021 | 04/13/2021 | |
| 2020 | ||
| October 2020 - December 2020 | 04/13/2021 | |
| July 2020 - September 2020 | 04/13/2021 | |
| April 2020 - June 2020 | 04/13/2021 | |
| January 2020 - March 2020 | 04/28/2020 | |
Return to Materiel - State Purchasing Bureau
Materiel - State Purchasing Bureau - Vendor Information
| Description | Last Revised | Format |
|---|---|---|
| Attestation Form | 12/04/2020 | |
| Nebraska W-9 and ACH Form | 03/10/2020 | |
| Procurement Concierge Program | Online | |
| State Purchasing Bureau Records Request Form | 10/01/2019 | |
| Technology Access Clause | 07/29/2021 | |
| Vendor Application | 12/14/2020 | Excel |
Return to Materiel - State Purchasing Bureau
Materiel - Purchasing Bureau - Vendor Performance Program
| Description | Last Revised | Format |
|---|---|---|
| Vendor Performance Program (VPP) | ||
| Vendor Performance Program (VPP) Guide | 04/18/2024 | |
| Vendor Performance Program (VPP) Video | Video | |
| Contract Compliance Request (VPP) | 01/24/2024 | Word |
| Contract Non-Compliance Notice (VPP) | 04/18/2024 | Word |
Procurated - Vendor Ratings and Review Platform |
||
| Procurated InfoSheet | 11/05/2020 | |
| Procurated Instructional Video | Video | |
Return to Materiel - State Purchasing Bureau
Materiel - Surplus Property and Asset Management
| Description | Last Revised | Format |
|---|---|---|
| Annual Fixed Asset/Annual Inventory Letter | 05/01/2025 | |
| Asset Management Manual | 01/10/2024 | |
| Barcode Scanner Manual | 04/22/2025 | |
| Scanner Announcement/Update | 10/23/2024 | |
| SPN Form for Non-Fixed Asset | 10/18/2023 | Excel |
| Surplus ECM Instructions | 01/10/2024 | |
| Surplus Property Assessment Form | 01/10/2024 | |
| Surplus Property Auction - GovDeals | Online | |
| Surplus Photo Guidebook | 11/07/2023 | |
| Surplus Property Manual | 01/10/2024 | |
| Surplus Property Training PowerPoint | 11/07/2023 | PowerPoint |
Materiel - Print and Copy Services
| Description | Last Revised | Format |
|---|---|---|
| Copy Center Requisition | 08/10/2022 | Excel |
| Printing Requisition | Online |
Materiel - Mail Center
| Description | Last Revised | Format |
|---|---|---|
| Mail Services Guide | 02/24/2021 | |
| Change of Address Form | 05/14/2024 |
State Personnel
- Classification and Compensation
- Publications and Policies
- State Personnel Systems
- Talent Acquisition and SOS Temporary Program
- Teammate Engagement
- Training and Development
- Workday User Guides
- Wellness and Benefits
State Personnel - Classification and Compensation
State Personnel Classification and Compensation - Fair Labor Standards Act
| DEPARTMENT OF LABOR - FAIR LABOR STANDARDS ACT |
|---|
| Links to the U.S. Department of Labor (DOL) fact sheets for these exemption types and associated regulations and tests. |
| Description | Last Revised | Format |
|---|---|---|
| Executive | External | |
| Administrative | External | |
| Professional | External | |
| Computer | External |
| DEPARTMENT OF LABOR FLSA SITES |
|---|
| Links to specific U.S. Department of Labor web sites. |
| Description | Last Revised | Format |
|---|---|---|
| Department of Labor - The Fair Labor Standards Act (FLSA) | External | |
| Wage and Hour | External | |
| U.S. Department of Labor | External |
Return to State Personnel - Classification and Compensation
State Personnel Classification and Compensation - Job Specifications
Return to State Personnel - Classification and Compensation
State Personnel Classification and Compensation - Job Specifications A
Return to State Personnel Classification and Compensation - Job Specifications
State Personnel Classification and Compensation - Job Specifications B
| Title | Code |
|---|---|
| Barber/Beautician | I79510 |
| Behavior Analyst | H72441 |
| Behavior Support Specialist | H76300 |
[Behavior Technician Series]
|
|
[Behavioral Health Practitioner Series]
|
|
| Bindery Worker II | M86312 |
| Board Certified Behavior Analyst | H72442 |
| Board Certified Behavior Analyst Clinical Supervisor | V72443 |
| Boiler Inspection Program Manager | V62612 |
| Boiler Inspector | X62611 |
| Budget Analyst | K19330 |
| Budget Management Analyst I | K19511 |
| Budget Management Analyst II | K19512 |
| Budget Management Analyst/Senior | V19513 |
| Budget Management Deputy Administrator | G19524 |
| Budget Officer I | A19311 |
| Budget Officer II | A19312 |
| Budget Officer III | G19313 |
| Building Program Specialist | E57240 |
| Business Manager III | V09213 |
Return to State Personnel Classification and Compensation - Job Specifications
State Personnel Classification and Compensation - Job Specifications C
Return to State Personnel Classification and Compensation - Job Specifications
State Personnel Classification and Compensation - Job Specifications D
Return to State Personnel Classification and Compensation - Job Specifications
State Personnel Classification and Compensation - Job Specifications E
Return to State Personnel Classification and Compensation - Job Specifications
State Personnel Classification and Compensation - Job Specifications F
Return to State Personnel Classification and Compensation - Job Specifications
State Personnel Classification and Compensation - Job Specifications G
Return to State Personnel Classification and Compensation - Job Specifications
State Personnel Classification and Compensation - Job Specifications H
Return to State Personnel Classification and Compensation - Job Specifications
State Personnel Classification and Compensation - Job Specifications I
Return to State Personnel Classification and Compensation - Job Specifications
State Personnel Classification and Compensation - Job Specifications J
| Title | Code |
|---|---|
| Jail Standards Division Chief | V64730 |
| Job Training Program Coordinator | C70850 |
| Juvenile Diversion Programs Administrator | G67400 |
Return to State Personnel Classification and Compensation - Job Specifications
State Personnel Classification and Compensation - Job Specifications L
Return to State Personnel Classification and Compensation - Job Specifications
State Personnel Classification and Compensation - Job Specifications M
Return to State Personnel Classification and Compensation - Job Specifications
State Personnel Classification and Compensation - Job Specifications N
| Title | Code |
|---|---|
| Natural Resources Cartographer | M56170 |
| Natural Resources Floodplain Management Specialist | M57540 |
| Natural Resources Geodetic Survey Crew Leader | M56752 |
| Natural Resources Geodetic Survey Manager | V56753 |
| Natural Resources Photogrammetric Technician | M56740 |
| Natural Resources Planner Coordinator | E57172 |
| Natural Resources Planner Supervisor | V57173 |
| Natural Resources Planner Technician | E57171 |
| Natural Resources Survey Assistant | M56751 |
| Nebraska Agriculture Trade Representative | G49480 |
| Nebraska Commission on National and Community Service Director | G73000 |
[Network Operations Center Series]
|
|
| Negotiator Chief | V27314 |
| NITC Administrative Manager | G07870 |
| Nurse Practitioner | D75350 |
| Nursing Services Surveyor Consultant | X62580 |
Return to State Personnel Classification and Compensation - Job Specifications
State Personnel Classification and Compensation - Job Specifications O
| Title | Code |
|---|---|
| Occupational Therapist | H77312 |
| Occupational Therapist Supervisor | V77313 |
[Office Clerical Series]
|
|
| Office Services Manager I | V03351 |
| Office Services Manager II | V03352 |
| Office Services Technician | M03211 |
| Oil and Gas Conservation Deputy Director | G09720 |
| Oil and Gas Inspector | X62770 |
| Optometric Aide | I74250 |
Return to State Personnel Classification and Compensation - Job Specifications
State Personnel Classification and Compensation - Job Specifications P
Return to State Personnel Classification and Compensation - Job Specifications
State Personnel Classification and Compensation - Job Specifications R
Return to State Personnel Classification and Compensation - Job Specifications
State Personnel Classification and Compensation - Job Specifications S
Return to State Personnel Classification and Compensation - Job Specifications
State Personnel Classification and Compensation - Job Specifications T
| Title | Code |
|---|---|
| Tourism Aide/Guide | S41220 |
| Tourism Deputy Director | G41100 |
| Tourism Facility Operator | S41350 |
[Training Series]
|
|
| Transpiration District/Division Engineer | G55210 |
| Transportation Manager | V79360 |
[Transportation Planner Series]
|
Return to State Personnel Classification and Compensation - Job Specifications
State Personnel Classification and Compensation - Job Specifications U
Return to State Personnel Classification and Compensation - Job Specifications
State Personnel Classification and Compensation - Job Specifications V
| Title | Code |
|---|---|
| Vehicle Operator I | M79311 |
| Vehicle Operator II | M79312 |
| Veteran's Affairs Service Officer I | A72911 |
| Veteran's Affairs Service Officer II | A72912 |
| Veteran's Affairs Service Officer III | V72913 |
| Video Broadcast Engineer | E35711 |
| Violence Prevention Division Administrator | G66830 |
| Visually Impaired Orientation Counselor I | C72611 |
| Visually Impaired Orientation Counselor II | C72612 |
| Visually Impaired Services Assistant Director | G72650 |
| Vital Statistics Program Analyst | A13350 |
| Vocational Rehabilitation Counselor II | C72512 |
| Vocational Rehabilitation Technician | I72670 |
| Vocational Rehabilitation Supervisor | V72540 |
| Vocational Teacher I | A11451 |
| Vocational Teacher II | A11452 |
| Volunteer Services Coordinator | S79610 |
Return to State Personnel Classification and Compensation - Job Specifications
State Personnel Classification and Compensation - Job Specifications W
| Title | Code |
|---|---|
| Waiver Services Specialist | C72250 |
| Warehouse Manager | V05660 |
| Wheat Board Assistant Director | G47930 |
| Workforce Coordinator | C70130 |
Return to State Personnel Classification and Compensation - Job Specifications
State Personnel Classification and Compensation - Job Specifications Y
| Title | Code |
|---|---|
| Youth Counselor I | C72481 |
| Youth Counselor II | C72482 |
| Youth Counselor Supervisor | V72483 |
| Youth Security Specialist II | P76752 |
| Youth Security Supervisor | V76753 |
Return to State Personnel Classification and Compensation - Job Specifications
State Personnel Classification and Compensation - Pay Plans
Return to State Personnel - Classification and Compensation
State Personnel Classification and Compensation Pay Plans - Published Classification and Pay Plan
| Description | Last Revised | Format |
|---|---|---|
| Classification and Pay Plan July 1, 2024 (Current) | 07/18/2024 | |
| Classification and Pay Plan July 1, 2023 | 07/01/2023 | |
| Classification and Pay Plan July 1, 2022 | 07/01/2022 | |
| Classification and Pay Plan December 6, 2021 | 12/06/2021 | |
| Pay Plan (Alpha) - November 8, 2021 | 11/08/2021 | |
| Pay Plan (Numeric) - November 8, 2021 | 11/08/2021 | |
| Classification and Pay Plan July 1, 2021 | 07/01/2021 | |
| Classification and Pay Plan July 1, 2020 | 07/01/2020 | |
| Classification and Pay Plan July 1, 2019 | 07/01/2019 | |
| Classification and Pay Plan January 1, 2019 | 01/01/2019 | |
| Classification and Pay Plan July 1, 2018 | 07/01/2018 | |
| Classification and Pay Plan July 1, 2017 | 07/01/2017 | |
| Classification and Pay Plan July 1, 2016 | 07/01/2016 | |
| To view previous pay plans, visit the State Government Publications ONLINE at the Nebraska Library Commission | External |
Return to State Personnel Classification and Compensation - Pay Plans
State Personnel Classification and Compensation Pay Plans - Quarterly Pay Plan Changes
- 2025 Quarterly Pay Plan Changes
- 2024 Quarterly Pay Plan Changes
- 2023 Quarterly Pay Plan Changes
- 2022 Quarterly Pay Plan Changes
- 2021 Quarterly Pay Plan Changes
- 2020 Quarterly Pay Plan Changes
- 2019 Quarterly Pay Plan Changes
- 2018 Quarterly Pay Plan Changes
- 2017 Quarterly Pay Plan Changes
- 2016 Quarterly Pay Plan Changes
Return to State Personnel Classification and Compensation - Pay Plans
State Personnel Classification and Compensation Quarterly Pay Plan Changes - 2025
| Description | Last Revised | Format |
|---|---|---|
| Q1 January - March 2025 | 03/31/2025 |
State Personnel Classification and Compensation Quarterly Pay Plan Changes - 2024
| Description | Last Revised | Format |
|---|---|---|
| Q1 January - March 2024 | 03/28/2024 | |
| Q2 April - June 2024 | 06/28/2024 | |
| Q3 July - September 2024 | 09/27/2024 | |
| Q4 October - December 2024 | 12/31/2024 |
Return to State Personnel Classification and Compensation Pay Plans - Quarterly Pay Plan Changes
State Personnel Classification and Compensation Quarterly Pay Plan Changes - 2023
| Description | Last Revised | Format |
|---|---|---|
| Q1 January - March 2023 | 03/31/2023 | |
| Q2 April - June 2023 | 06/30/2023 | |
| Q3 July - September 2023 | 09/26/2023 | |
| Q4 October - December 2023 | 01/02/2024 |
Return to State Personnel Classification and Compensation Pay Plans - Quarterly Pay Plan Changes
State Personnel Classification and Compensation Quarterly Pay Plan Changes - 2022
| Description | Last Revised | Format |
|---|---|---|
| Q1 January - March 2022 | 03/30/2022 | |
| Q2 April - June 2022 | 06/30/2022 | |
| Q3 July - September 2022 | 09/28/2022 | |
| Q4 October - December 2022 | 12/23/2022 |
Return to State Personnel Classification and Compensation Pay Plans - Quarterly Pay Plan Changes
State Personnel Classification and Compensation Quarterly Pay Plan Changes - 2021
| Description | Last Revised | Format |
|---|---|---|
| Q1 January - March 2021 | 04/19/2021 | |
| Q2 April - June 2021 | 07/02/2021 | |
| Q3 July - September 2021 | 10/01/2021 | |
| Q4 October - December 2021 | 12/30/2021 |
Return to State Personnel Classification and Compensation Pay Plans - Quarterly Pay Plan Changes
State Personnel Classification and Compensation Quarterly Pay Plan Changes - 2020
| Description | Last Revised | Format |
|---|---|---|
| Q1 January - March 2020 | 04/06/2020 | |
| Q2 April - June 2020 | 07/01/2020 | |
| Q3 July - September 2020 | 10/09/2020 | |
| Q4 October - December 2020 | 01/08/2021 |
Return to State Personnel Classification and Compensation Pay Plans - Quarterly Pay Plan Changes
State Personnel Classification and Compensation Quarterly Pay Plan Changes - 2019
| Description | Last Revised | Format |
|---|---|---|
| Q1 January - March 2019 | 04/10/2019 | |
| Q2 April - June 2019 | 07/03/2019 | |
| Q3 July - September 2019 | 10/15/2019 | |
| Q4 October - December 2019 | 01/13/2020 |
Return to State Personnel Classification and Compensation Pay Plans - Quarterly Pay Plan Changes
State Personnel Classification and Compensation Quarterly Pay Plan Changes - 2018
| Description | Last Revised | Format |
|---|---|---|
| Q1 January - March 2018 | 06/06/2018 | |
| Q2 April - June 2018 | 07/05/2018 | |
| Q3 July - September 2018 | 10/09/2018 | |
| Q4 October - December 2018 | 01/05/2019 |
Return to State Personnel Classification and Compensation Pay Plans - Quarterly Pay Plan Changes
State Personnel Classification and Compensation Quarterly Pay Plan Changes - 2017
| Description | Last Revised | Format |
|---|---|---|
| Q1 January - March 2017 | 04/11/2017 | |
| Q2 April - June 2017 | 07/07/2017 | |
| Q3 July - September 2017 | 10/03/2017 | |
| Q4 October - December 2017 | 02/28/2018 |
Return to State Personnel Classification and Compensation Pay Plans - Quarterly Pay Plan Changes
State Personnel Classification and Compensation Quarterly Pay Plan Changes - 2016
| Description | Last Revised | Format |
|---|---|---|
| Q1 January - March 2016 | 04/01/2016 | |
| Q2 April - June 2016 | 10/06/2016 | |
| Q3 July - September 2016 | 10/03/2016 | |
| Q4 October - December 2016 | 01/05/2017 |
Return to State Personnel Classification and Compensation Pay Plans - Quarterly Pay Plan Changes
State Personnel Classification and Compensation - PDQ Toolbox
| CLASS AND COMPENSATION TOOLBOX |
|---|
| Resources related to Classification and Compensation Functions. |
| Description | Last Revised | Format |
|---|---|---|
| Classified System Rules and Regulations | 12/21/2021 | |
| HR Guide Classification and Compensation | 06/03/2024 | |
| Training Guidance | 06/03/2024 | |
| Form - Position Description Questionnaire (PDQ) | 06/03/2024 | Word |
| Form - Supervisory Questionnaire | 02/17/2018 | Word |
| Form - Financial Responsibilities Questionnaire | 09/18/2022 | |
| Form - Confidentiality Questionnaire | 01/05/2019 | Word |
| Form - Compensation Request | 06/03/2024 | Word |
| Form – Sustained High Performance Questionnaire | 06/03/2024 | Word |
| Equity Consideration Guidance | 06/03/2024 | |
| State Personnel Expedited Classification Process | 08/24/2022 | Word |
| PDQ TOOLBOX |
|---|
| Resources to assist with filling out the Position Description Questionnaire. |
| Description | Last Revised | Format |
|---|---|---|
| Degrees of Control Defined | 09/28/2017 | |
| Position Audit Questions | 06/29/2020 | |
| Supervision Received Defined | 06/29/2020 | |
| Supplement to Essential Duties Section | 09/28/2017 | |
| Classification Functions | 06/03/2024 |
Return to State Personnel - Classification and Compensation
State Personnel Classification and Compensation - Publications
| CLASSIFICATION AND COMPENSATION PUBLICATIONS |
|---|
| Publications including the Personnel Almanacs, Salary Surveys, Furlough Guide and Telecommuting Guidelines. |
| Description | Last Revised | Format |
|---|---|---|
| Personnel Almanac Annual data report compiled by the Personnel Division includes information on state employee’s salary, gender, ethnicity, leave, insurance, benefits, expenditures, turnover and retirement, grouped by state agency. |
External | |
| Salary Surveys Annual volunteer survey of both private and public employers across Nebraska conducted by the Employee Relations Division. The data report includes information about employer benefits and average salary data for 195 job classifications. |
External | |
| Nebraska State Government Furlough Guide | 10/26/2016 | |
| Telecommuting Guidelines | 06/15/2016 | |
| Title 273, Classified Personnel Rules | 12/21/2021 |
Return to State Personnel - Classification and Compensation
State Personnel - Publications and Policies
| PERSONNEL PUBLICATIONS AND POLICIES |
|---|
| State Personnel policies, Holiday Schedule and other relevant documentation. |
| Description | Last Revised | Format |
|---|---|---|
| Personnel Policies | ||
| Drug Free Workplace Policy | 02/05/2024 | |
| Equal Employment Opportunity Policy | 02/05/2024 | |
| Severe Weather Policy | 01/30/2020 | |
| Vendor Solicitation Policy | 08/27/2020 | |
| Workplace Harrassment Policy | 02/05/2024 | |
| Other Personnel-related Topics | ||
| State of Nebraska Suggestion System | Online | |
| Holiday Schedule | Online | |
| HR Implications for Natural Disasters | 10/26/2016 | |
State Personnel - Systems
- State of Nebraska Workday
- State of Nebraska Other Employee Websites and Forms
- State Personnel Direct Website Links
- Other Useful State of Nebraska Links
| STATE OF NEBRASKA WORKDAY |
|---|
| Workday is for State of Nebraska employee use, only. |
| Description | Last Revised | Format |
|---|---|---|
| Workday - SoN Tenant (Production) | Online | |
| Workday - Sandbox | Online | |
| Workday - Sandbox PREVIEW | Online | |
| Workday - Community | Online | |
| Workday - Customer Central (requires special account.) | Online |
Return to State Personnel Systems
| OTHER STATE OF NEBRASKA EMPLOYEE WEBSITES AND FORMS |
|---|
| These systems and forms are for State of Nebraska employee use, only. |
| Description | Last Revised | Format |
|---|---|---|
| In Grade Request Form | 08/19/2019 | Word |
| Microsoft Online Password Reset | Online | |
| NEINET Guest Account Instructions | 09/26/2018 | |
| OCIO Service Portal | Online | |
| Payroll and Financial Center | Online | |
| Payroll and Financial Center (Same Sign In) | Online | |
| Remote Outlook Email (using a browser) | Online | |
| Reimbursement of Job-applicant Expenses | Online | |
| Sharefile Login | Online | |
| State Jobs Career Center | Online |
Return to State Personnel Systems
| STATE PERSONNEL DIRECT DAS WEBSITE LINKS |
|---|
| Links to sub-sections of the State Personnel section of the DAS Website. |
| Description | Last Revised | Format |
|---|---|---|
| State Personnel | Online | |
| Classification and Compensation | Online | |
| Job Specifications | Online | |
| Talent Acquisition and SOS Temporary Program | Online | |
| Teammate Engagement | Online | |
| Training and Development | Online | |
| State Personnel Users Guides | Online | |
| Wellness and Benefits | Online |
Return to State Personnel Systems
| OTHER USEFUL STATE OF NEBRASKA LINKS |
|---|
| Useful information from other State of Nebraska public resources. |
| Description | Last Revised | Format |
|---|---|---|
| Agency Information | Online | |
| Apply for a job | Online | |
| My Applications (MyApps on Microsoft) | Online | |
| link.nebraska.gov | Online | |
| Nebraska Legislature | Online | |
| State of Nebraska Phone Directory | Online |
Return to State Personnel Systems
State Personnel - Talent Acquisition and SOS Temporary Program
- State Personnel Talent Acquisition Team State Jobs Social Media Links
- SOS Temporary Program (Specialized Office Services)
- Veterans and Military Spouses
State Personnel Talent Acquisition and SOS Temporary Program - State Jobs Social Media Links
| STATE JOBS LINKS |
|---|
| State Personnel Talent Acquisition Team State Jobs Social Media Links |
| Description | Last Revised | Format |
|---|---|---|
| Nebraska State Jobs | External | |
| Nebraska State Jobs Email | ||
| Nebraska State Jobs Facebook | External | |
| Nebraska State Jobs Linked In | External | |
| Nebraska State Jobs Instagram | External | |
| Nebraska State Jobs Spotify | External |
Return to State Personnel - Talent Acquisition and SOS Temporary Program
State Personnel Talent Acquisition and SOS Temporary Program - SOS Program
| STATE OF NEBRASKA SOS PROGRAM |
|---|
| Files and Documents in support of the State of Nebraska Talent Acquisition and Temporary SOS Temporary Program . |
| Description | Last Revised | Format |
|---|---|---|
| Benefits (Wellness and Benefits) | Online | |
| Chapter 4 – Temporary Employment, Classified System Rules and Regulations | 12/21/2021 | |
| Email regarding Hiring Temporary Staff through the SOS Program | ||
| Expense Reimbursement Requests | 02/13/2023 | |
| Payroll and Financial Center Daily Time Entry Instructions | 04/20/2021 | |
| Payroll and Financial Center Manager Time Entry Approval Instructions | 07/28/2021 | |
| Payroll Schedule (Accounting) | Online |
Return to State Personnel - Talent Acquisition and SOS Temporary Program
State Personnel Talent Acquisition and SOS Temporary Program - Veterans and Military Spouses
| VETERANS AND MILITARY SPOUSES |
|---|
| State Personnel Talent Acquisition Team Links in support of Veterans and Military Spouses. |
| Description | Last Revised | Format |
|---|---|---|
| State Jobs Email Address | ||
| Form DD214 | External | |
| Nebraska Revised Statute 48-225 - Veterans Preference | External | |
| DoD SkillBridge Program Application | External | |
| State of Nebraska SkillBridge Program Video | YouTube | |
| State of Nebraska SkillBridge Program Video - Episode 10 featuring Michael Broderick | YouTube | |
| Military Spouse Transition Program Inquiry | Online | |
| Agency Resources for the Military Spouse Transition Program | ||
| Military Spouse Transition Program Responsibilities and Expectations | 04/16/2021 | |
| Veteran and Military Spouse Recruitment Flyer | 08/11/2024 | |
| Intake Interview Form – Moving to Nebraska | 04/19/2021 | |
| Exit Interview Form – Leaving Nebraska | 04/19/2021 | |
| Additional Resources for Talent Acquisition | 04/16/2021 | |
Return to State Personnel - Talent Acquisition and SOS Temporary Program
State Personnel - Teammate Engagement
State Personnel Engagement - Charitable Initiatives
Return to State Personnel - Engagement
| FOOD DRIVE FOR THE HEARTLAND |
|---|
| Foodbank for the Heartland Mission: To eliminate hunger in the Heartland by ensuring consistent access to healthy foods through community partnerships. |
| Description | Last Revised | Format |
|---|---|---|
| Donate to the Food Bank for the Heartland Virtual Drive | External | |
| Food Bank for the Heartland Website | External |
| FOOD BANK OF LINCOLN |
|---|
| The Food Bank of Lincoln was founded in 1981, focusing on alleviating hunger in Southeast Nebraska. |
| Description | Last Revised | Format |
|---|---|---|
| Donate to the Food Bank of Lincoln Virtual Drive | External | |
| Food Bank of Lincoln Website | External | |
| Can-struction | 03/19/2025 |
| VIRTUAL FOOD DRIVE RESOURCES |
|---|
| To donate directly, review Nebraska Counties served and/or participate in the Stuff the Truck event. |
| Description | Last Revised | Format |
|---|---|---|
| I want to give by CASH or CHECK | 03/13/2025 | |
| Map Nebraska Counties Served by the Food Banks | 05/12/2016 | |
| Campaign Against Hunger 8.5x11 flyer | 03/13/2025 | |
| Food Bank of Lincoln Stuff the Truck Event | 03/13/2025 |
Return to State Personnel Engagement - Charitable Initiatives
| BLOOD DRIVES |
|---|
| State Teammate Blood Drives |
| Description | Last Revised | Format |
|---|---|---|
| Calendar and Location of State Teammate Blood Drives | Web |
Return to State Personnel Engagement - Charitable Initiatives
| State Personnel Charitable Engagement - Public Servant Youth Mentorship Program |
|---|
| Description | Last Revised | Format |
|---|---|---|
| Public Servant Youth Mentorship Program Guidelines | 03/05/2025 | |
| Public Servant Youth Mentorship Program Waiver Form | 09/04/2024 | |
| Public Servant Youth Mentorship Program Opportunities at Mentor Nebraska | External |
Return to State Personnel Engagement - Charitable Initiatives
State Personnel Teammate Engagement - Employee Discount Program
| Description | Last Revised | Format |
|---|---|---|
| Nebraska State Employee Discount Program | External |
Return to State Personnel - Teammate Engagement
State Personnel Employee Engagement - Employee Recognition
- Agency Information for Employee Recognition
- 2024 Employee Recognition
- 2023 Employee Recognition
- 2022 Employee Recognition
- 2021 Employee Recognition
- 2020 Employee Recognition
Return to State Personnel - Employee Engagement
| AGENCY INFORMATION EMPLOYEE RECOGNITION |
|---|
| Employee Recognition Guidelines for Agencies |
| Description | Last Revised | Format |
|---|---|---|
| Employee Recognition Guidelines for Agencies | 07/19/2021 |
Return to State Personnel Employee Engagement - Employee Recognition
| 2024 EMPLOYEE RECOGNITION |
|---|
| 2024 Excellence in Leadership and Excellence in State Service Honorees. |
| Description | Last Revised | Format |
|---|---|---|
| 2024 Excellence in State Service Honorees | ||
| 2024 Excellence in State Service Program | 09/12/2024 | |
| 2024 Excellence in Leadership | ||
| 2024 Excellence in Leadership Program | 04/11/2024 | |
| 2024 Military Recognition | ||
| 2024 Military Service Recognition Honorees (PDF) | 11/07/2024 | |
Return to State Personnel Employee Engagement - Employee Recognition
| 2023 EMPLOYEE RECOGNITION |
|---|
| 2023 Excellence in Leadership and Excellence in State Service Honorees. |
| Description | Last Revised | Format |
|---|---|---|
| 2023 Employee Recognition Month Proclamation | 10/30/2023 | |
| 2023 Military Recognition | ||
| 2023 Military Service Recognition Honorees (PDF) | 11/14/2022 | |
| 2023 Excellence in Leadership | ||
| 2023 Excellence in Leadership Program | 10/27/2023 | |
| 2023 Excellence in Leadership Photos | External | |
| 2023 Excellence in State Service Honorees | ||
| 2023 Excellence in State Service Program | 10/30/2023 | |
| 2023 Excellence in State Service Photos | External | |
Return to State Personnel Employee Engagement - Employee Recognition
| 2022 EMPLOYEE RECOGNITION |
|---|
| 2022 Excellence in Leadership and Excellence in State Service Honorees. |
| Description | Last Revised | Format |
|---|---|---|
| 2022 Employee Recognition Month Proclamation | 11/15/2022 | |
| 2022 Military Recognition | ||
| 2022 Military Service Recognition Honorees (PDF) | 11/14/2022 | |
| 2022 Excellence in Leadership | ||
| 2022 Excellence in Leadership Program | 10/18/2022 | |
| 2022 Excellence in Leadership Photos | External | |
| 2022 Excellence in State Service Honorees | ||
| 2022 Excellence in State Service Program | 09/27/2022 | |
| 2022 Excellence in State Service Photos | External | |
Return to State Personnel Employee Engagement - Employee Recognition
| 2021 EMPLOYEE RECOGNITION |
|---|
| 2021 Excellence in Leadership and Excellence in State Service Honorees. |
| Description | Last Revised | Format |
|---|---|---|
| 2021 Employee Recognition Month Proclamation | 09/01/2021 | |
| 2021 Military Recognition | ||
| 2021 Teammate Military Service Recognition Honorees (PDF) | 01/26/2022 | |
| 2021 Excellence in Leadership | ||
| 2021 Excellence in Leadership Program | 10/28/2021 | |
| 2021 Excellence in Leadership Photos | External | |
| 2021 Excellence in State Service Honorees | ||
| 2021 Excellence in State Service Program | 10/04/2021 | |
| 2021 Excellence in State Service Photos | External | |
Return to State Personnel Employee Engagement - Employee Recognition
| 2020 EMPLOYEE RECOGNITION |
|---|
| 2020 Excellence in Leadership and Excellence in State Service Honorees. |
| Description | Last Revised | Format |
|---|---|---|
| 2020 Employee Recognition Month Proclamation | 10/15/2020 | |
| 2020 Excellence in Leadership | ||
| 2020 Excellence in Leadership Program | 11/03/2020 | |
| 2020 Excellence in Leadership Photos | External | |
| 2020 Excellence in State Service Honorees | ||
| 2020 Excellence in State Service Honoree | 10/04/2020 | Excel |
| 2020 Excellence in State Service Photos | External | |
| Thank You from Agency Leadership | ||
| Governor Pete Ricketts | Youtube | |
| DAS Director Jason Jackson | Youtube | |
| Office of the Chief Information Officer (DAS) | Youtube | |
| Banking and Finance Director Kelly Lammers | Youtube | |
| Department of Health and Human Services Chief Executive Officer Dannette Smith | Youtube | |
| Electrical Board Director Craig Thelen | Youtube | |
| Major General Daryl Bohac | Youtube | |
| Parole Board | Youtube | |
| Retirement | Youtube | |
| Department of Revenue Director Tony Fulton | Youtube | |
| Nebraska State Patrol Colonel John Bolduc | Youtube | |
| Department of Transportation Director Kyle Schneweis | Youtube | |
| Nebraska Department of Veterans' Affairs Director John Hilgert | Youtube | |
Return to State Personnel Employee Engagement - Employee Recognition
State Personnel - Training and Development
State Personnel Training and Development - Social Media Links
| STATE PERSONNEL - TRAINING AND DEVELOPMENT |
|---|
| State Personnel Training and Development Social Media Links |
| Description | Last Revised | Format |
|---|---|---|
| State Personnel Training and Development Email Address | ||
| State Personnel Training and Development Facebook | External | |
| State Personnel Training and Development Twitter | External |
Return to State Personnel - Training and Development
State Personnel Training and Development - Learning Opportunities
| Description | Last Revised | Format |
|---|---|---|
| State Personnel Training and Development Learning Opportunities | Online |
Return to State Personnel - Training and Development
State Personnel Training and Development - Services
| Description | Last Revised | Format |
|---|---|---|
| Reserve the Development Center | External | |
| 1526 Building FAQ | Online | |
| State Personnel Learning and Development Services | Online |
Return to State Personnel - Training and Development
State Personnel - Workday User Guides
- Links to JDE User Guides
- Workday - Benefits and Deductions
- Workday - Human Resources Information System (HRIS)
- Workday - Recruiting, Learning, Talent
- Workday - Support
State Personnel Workday User Guides - Links to JDE User Guides
| Description | Last Revised | Format |
|---|---|---|
| Payroll and Financial Center Website (will navigate in new browser window to Accounting) | Online | |
| Quick Reference Guide for Pre-Payroll Message EE Deduction Not Taken | 09/13/2024 |
Return to State Personnel - Workday User Guides
State Personnel Workday User Guides - Benefits and Deductions
| Description | Last Revised | Format |
|---|---|---|
| Employee Self-Service | ||
| Add or Change HSA Contribution | 09/06/2024 | |
| Change Beneficiary - Add or Remove | 09/06/2024 | |
| Change W-2 Election to Electronic | 09/06/2024 | |
| Create Dependents | 09/06/2024 | |
| Initiate a Life Event | 09/13/2024 | |
| New Hire Benefit Enrollment | 09/06/2024 | |
| TRICARE Insurance Incentive Program (Employee) | 10/29/2024 | |
| HR Partners | ||
| Administrative Correction | 09/13/2024 | |
| Change Employment Status (e.g., move employee from union-covered position to non-union-covered position) | 09/13/2024 | |
| Employees on Leave Without Pay NOT FMLA or Workers Comp Quick Reference Guide | 09/13/2024 | |
| End Benefits for Employee in a Non-Pay Status | 09/13/2024 | |
| External Deductions (Parking, Deferred Comp for SLEBC ONLY, Charitable Giving, etc.) | 09/13/2024 | |
| FTE Change that Affects Benefit Eligibility | 09/13/2024 | |
| Retirement and Deferred Compensation Eligibility | 09/13/2024 | |
| Retirement and Leave Accrual Entry | 03/10/2025 | |
| Review for Retro Adjustments Quick Reference Guide | 09/13/2024 | |
| Temporary to Permanent Enrollment Event | 09/13/2024 | |
| TRICARE Insurance Incentive Program (HR Partner) | 10/29/2024 | |
Return to State Personnel - Workday User Guides
State Personnel Workday User Guides - Human Resources Information System (HRIS)
| Description | Last Revised | Format |
|---|---|---|
| Same Sign On | ||
| Same Sign On User Guide | 09/13/2024 | |
| Same Sign On User Video | 08/01/2019 | Video |
| Employee/Position Actions | ||
| Change Compensation - Adhoc Comp Change | 09/13/2024 | |
| Change Organization Assignments | 09/13/2024 | |
| Manage Probation Periods | 09/13/2024 | |
| Move Worker (Supervisory) | 09/13/2024 | |
| Terminate an Employee | 09/13/2024 | |
| How Do I ... complete that task in Workday? | ||
| Complete a Task in Workday Quick Reference Guide | 9/11/2024 | |
| Reset an Employee Password | 09/13/2024 | |
| What Can a Manager Do in Workday? | 09/13/2024 | |
| Request new, or different, Workday Security Roles | 01/16/2024 | |
| Position Management | ||
| Close or Freeze/Unfreeze a Position | 09/13/2024 | |
| Create Position | 09/13/2024 | |
| Edit Position Restrictions | 09/13/2024 | |
| Related Payroll Actions (in E1, a.k.a. PFC) | ||
| Payroll Update Quick Reference Guide | 02/14/2024 | |
| Using the System | ||
| Add Emergency Contact Information | 09/13/2024 | |
| Deferred Compensation, Add or Change - Employee Self-Service | 09/13/2024 | |
| Direct Deposit: Add, Edit, or Delete - Employees and HR Partners | 09/13/2024 | |
| Edit Contact Information | 11/13/2020 | |
| Work Contact Information for CodeRED | 09/13/2024 | |
| Modify or Add Favorites | 09/13/2024 | |
| Review Status of Pending Tasks | 09/13/2024 | |
| View or Print Form 1095 | 09/13/2024 | |
| Workday Icon Glossary | 11/13/2020 | |
Return to State Personnel - Workday User Guides
State Personnel Workday User Guides - Recruiting, Learning, Talent
| Description | Last Revised | Format |
|---|---|---|
| Recruiting | ||
| How to Use Workday Recruiting/the Recruiter Hub | 01/28/2025 | |
| Create Evergreen Requisition | 05/09/2025 | |
| Create Job Requisition | 10/17/2024 | |
| Request SOS Temporary (Create Position and Create Requisition) | 11/19/2024 | |
| Set Up Self-Schedule Calendars | 07/25/2024 | |
| Recruiter Screen Move Candidates | 11/27/2024 | |
| Veterans Preference Guide | 09/19/2024 | |
| Hiring Manager Recruiting | 07/31/2024 | |
| Job Posting Actions and Closing Requisitions | 07/25/2024 | |
| Create Candidate Pool | 04/03/2025 | |
| Create Prospect | 07/25/2024 | |
| Copy Application to Similar Requisition | 04/04/2024 | |
| Print and Share Applications | 07/25/2024 | |
| Workday Reports for Recruiting and Onboarding | 09/18/2024 | |
| Hiring | ||
| Change Job | 04/10/2024 | |
| Hire Event | 02/02/2024 | |
| Change Position Number at Time of Hire | 11/27/2024 | |
| Remote I-9 | 10/27/2023 | |
| Complete and Manage Form I-9 | 08/05/2024 | |
| Onboarding | ||
| Onboarding (PDF) | 03/03/2025 | |
| Onboarding (Video) | 09/10/2024 | Video |
| Onboarding Setup - Manager - SEE Hiring Manager Recruiting (above) | ||
| Apply for Jobs | ||
| Jobs Hub (Submit Internal Application and Manage Candidate Information) (PDF) | 09/26/2024 | |
| Jobs Hub - Internal Application (Video) | 09/10/2024 | Video |
| Navigate External Career Site (PDF) | 10/15/2024 | |
| Navigate External Career Site (Video) | 08/30/2024 | Video |
| Supplemental Questions | ||
| Supplemental Questions | 12/16/2024 | |
| Learning | ||
| Add External Training | 10/25/2023 | |
| Browse and Enroll in a Course | 09/30/2023 | |
| Create a Course | 10/16/2024 | |
| Create a Lesson | 09/30/2023 | |
| Create a Program | 09/30/2023 | |
| Mass Enrollment | 10/16/2024 | |
| Navigate Learning Dashboard | 09/30/2023 | |
| View and Drop a Course | 09/30/2023 | |
| Talent | ||
| Add a Manager or Indirect Manager to Review | 11/08/2023 | |
| Add Development Item | 09/30/2023 | |
| Anytime Feedback | 09/30/2023 | |
| Assign Probationary Performance Review | 09/30/2023 | |
| Complete Annual Performance Review - Pay for Performance | 11/03/2023 | |
| Complete a Probationary Performance Review | 10/25/2023 | |
| Create and Assign SMART Goals | 09/30/2023 | |
| Create Goal and Submit for Approval | 11/03/2023 | |
| Request Anytime Feedback | 09/30/2023 | |
Return to State Personnel - Workday User Guides
State Personnel Workday User Guides - Support
| Description | Last Revised | Format |
|---|---|---|
| Workday Help Desk | 402-471-6234 | as.linkhelp@nebraska.gov |
| Payroll and Financial Center Help Desk | 402-471-4636 |
Return to State Personnel - Workday User Guides
State Personnel - Wellness and Benefits
- Open Enrollment
- Benefits by Type of Employee
- Benefit Options and Quick Reference Guides
- Benefit Plans
- Tuition Reimbursement for Dependents
State Personnel Wellness and Benefits - Open Enrollment
- Options and Quick Reference Guides
- Resources
- Benefit Options Presentations
- HRIG Video Presentations
- Posters and Video Library
Return to State Personnel - Wellness and Benefits
State Personnel Wellness and Benefits Open Enrollment - Options and Quick Reference Guides
| Description | Last Revised | Format |
|---|---|---|
| 2025-2026 Open Enrollment Options Guide | 04/01/2025 | |
| 2025-2026 Open Enrollment Options Guide for Printing | 04/01/2025 | |
| 2025-2026 Open Enrollment Options Guide Text Version | Online | |
| 2025-2026 Open Enrollment Quick Reference Guide - Rates | 05/14/2025 | |
| 2025-2026 Open Enrollment Quick Reference Guide for Temporary Employees | 05/14/2025 | |
| 2025-2026 Open Enrollment Quick Reference Guide for COBRA/Retiree | 04/01/2025 |
Return to State Personnel Wellness and Benefits - Open Enrollment
State Personnel Wellness and Benefits Open Enrollment - Resources
| Description | Last Revised | Format |
|---|---|---|
| 2025-2026 Open Enrollment Tutorial (Video) | 04/01/2025 | Video |
| 2025-2026 Changes for the 2025-2026 Benefit Plan Year | 04/01/2025 | |
| State of Nebraska Short-Term and Long-Term Disablility Plan Overview Video | External | |
| 2025-2026 Open Enrollment Booth Locations | 04/01/2025 | |
| Mobile Device Instructions for Completing Open Enrollment Elections | 04/01/2025 |
Return to State Personnel Wellness and Benefits - Open Enrollment
State Personnel Wellness and Benefits Open Enrollment - Benefit Options Presentations
| Description | Last Revised | Format |
|---|---|---|
| Welcome to the Virtual Benefit HRIG | Workday | |
| UnitedHealthcare (UHC) Medical and Pharmacy | Workday | |
| Public Employees Retirement System - Deferred Compensation Plan | Workday | |
| AllOne Health - Employee Assistance Program (EAP) | Workday | |
| Ameritas - Dental Plan | Workday | |
| EyeMed - Vision Plan | Workday | |
| UHC - Short-Term/Long-Term Disability Video | Workday | |
| ASI/Flex - Flexible Spending Accounts | Workday | |
| The Hartford - Life Insurance | Workday | |
| Mentor Nebraska | YouTube |
Return to State Personnel Wellness and Benefits - Open Enrollment
State Personnel Wellness and Benefits Open Enrollment - Posters and Video Library
| Description | Last Revised | Format |
|---|---|---|
| 2025-2026 Open Enrollment UHC Poster A | 04/01/2025 | |
| 2025-2026 Open Enrollment UHC Poster B | 04/01/2025 | |
| 2025-2026 Open Enrollment Poster | 04/01/2025 | |
| Real Appeal Video | YouTube |
Return to State Personnel Wellness and Benefits - Open Enrollment
State Personnel Wellness and Benefits - Benefits by Type of Employee
Return to State Personnel - Wellness and Benefits
Active Employee Information
Open Enrollment Reference Guides
| Description | Last Revised | Format |
|---|---|---|
| Open Enrollment Options and Quick Reference Guides | Link |
Active Employee Benefits List
| Description | Last Revised | Format |
|---|---|---|
| Health and Prescription Plans | Link | |
| Dental | Link | |
| Vision | Link | |
| Flexible Spending Accounts | Link | |
| Health Savings Account | Link | |
| Life Insurance and Accidental Death and Dismemberment | Link | |
| Long Term and Short Term Disability | Link | |
| Pharmacy Plan Information | Link | |
| Employee Assistance Program | Link |
Return to State Personnel Wellness and Benefits - Benefits by Type of Employee
Temporary Employee Information
Open Enrollment Reference Guides
| Description | Last Revised | Format |
|---|---|---|
| Open Enrollment Options and Quick Reference Guides | Link |
Temporary Employee (SOS) Benefits List
| Description | Last Revised | Format |
|---|---|---|
| Health and Prescription Plans | Link | |
| Dental | Link | |
| Flexible Spending Accounts (Dependent Care, only) | Link | |
| Health Savings Account | Link | |
| Long Term and Short Term Disability | Link | |
| Employee Assistance Program | Link |
Return to State Personnel Wellness and Benefits - Benefits by Type of Employee
COBRA/Retiree Information
COBRA/Retiree Benefits
| Description | Last Revised | Format |
|---|---|---|
| For COBRA/Retiree Plans, see Open Enrollment Options Guide. | Online |
Return to State Personnel Wellness and Benefits - Benefits by Type of Employee
Employee Benefit Tools
| Description | Last Revised | Format |
|---|---|---|
| Making Changes to Your Benefit Elections | Online | |
| Cobra | ||
| COBRA Rights Information | 04/18/2014 | |
| COBRA Termination Form | 07/14/2014 | |
| Payroll Deduction Codes | ||
| Payroll Deduction Codes for the Employee Work Center | 07/01/2022 | Excel |
| Training Videos | ||
| Understanding the Effects of Workday Events Video | YouTube | |
| Understanding the Effects of Workday Events PowerPoint | 11/06/2020 | PowerPoint |
Return to State Personnel Wellness and Benefits - Benefits by Type of Employee
Enrollment Options and Quick Reference Guides
2025-2026 - Enrollment Options and Quick Reference Guides
| Description | Last Revised | Format |
|---|---|---|
| 2025-2026 Open Enrollment Options Guide | 04/01/2025 | |
| 2025-2026 Open Enrollment Options Guide for Printing | 04/01/2025 | |
| 2025-2026 Open Enrollment Options Guide Text Version | Online | |
| 2025-2026 Open Enrollment Quick Reference Guide - Rates | 05/14/2025 | |
| 2025-2026 Open Enrollment Quick Reference Guide for Temporary Employees | 05/14/2025 | |
| 2025-2026 Open Enrollment Quick Reference Guide for COBRA/Retiree | 04/01/2025 |
2024-2025 - Enrollment Options and Quick Reference Guides
| Description | Last Revised | Format |
|---|---|---|
| 2024-2025 Open Enrollment Options Guide | 04/01/2024 | |
| 2024-2025 Open Enrollment Options Guide for Printing | 04/01/2024 | |
| 2024-2025 Open Enrollment Options Guide Text Version | Online | |
| 2024-2025 Open Enrollment Quick Reference Guide - Rates | 04/01/2024 | |
| 2024-2025 Open Enrollment Quick Reference Guide for Temporary Employees | 04/01/2024 | |
| 2024-2025 Open Enrollment Quick Reference Guide for COBRA/Retiree | 04/01/2024 |
2023-2024 - Enrollment Options and Quick Reference Guides
| Description | Last Revised | Format |
|---|---|---|
| 2023-2024 Open Enrollment Options Guide | 04/01/2023 | |
| 2023-2024 Open Enrollment Options Guide for Printing | 04/01/2023 | |
| 2023-2024 Open Enrollment Options Guide Text Version | Online | |
| 2023-2024 Open Enrollment Quick Reference Guide - Rates | 04/01/2023 | |
| 2023-2024 Open Enrollment Quick Reference Guide for Temporary Employees | 04/01/2023 | |
| 2023-2024 Open Enrollment Quick Reference Guide for COBRA/Retiree | 04/01/2023 | |
| 2023-2024 Open Enrollment Direct Primary Care | 04/01/2023 |
Return to State Personnel - Wellness and Benefits
State Personnel Wellness and Benefits - Benefit Plans
- Health and Prescription
- Dental
- Vision
- Flexible Spending Accounts
- Health Savings Account
- Life Insurance
- Long-Term and Short-Term Disability
- Employee Assistance Program
Return to State Personnel - Wellness and Benefits
State Personnel Wellness and Benefits - Health and Perscription Plans
- Regular Plan
- WellNebraska Plan
- Consumer Focused Plan
- Direct Primary Care
- Real Appeal
- Tricare
- Health Plan Tools
- Pharmacy Plan Information
- Pharmacy Plan Tools
Return to State Personnel Wellness and Benefits - Benefit Plans
Regular Plan Information
2025-2026 Regular Plan| Description | Last Revised | Format |
|---|---|---|
| 2025-2026 Regular Plan Summary of Benefits and Coverage | 05/01/2025 | |
| 2025-2026 Regular Plan Summary Plan Description | 05/01/2025 |
| Description | Last Revised | Format |
|---|---|---|
| 2024-2025 Regular Plan Summary of Benefits and Coverage | 04/01/2024 | |
| 2024-2025 Regular Plan Summary Plan Description | 05/01/2024 |
| Description | Last Revised | Format |
|---|---|---|
| 2023-2024 Regular Plan Summary of Benefits and Coverage | 04/01/2023 | |
| 2023-2024 Regular Plan Summary Plan Description | 04/01/2023 |
Return to State Personnel Wellness and Benefits - Health and Perscription Plans
WellNebraska Plan Information
2025-2026 WellNebraska Plan| Description | Last Revised | Format |
|---|---|---|
| 2025-2026 WellNebraska with Incentives Plan Summary of Benefits and Coverage | 05/01/2025 | |
| 2025-2026 WellNebraska without Incentives Plan Summary of Benefits and Coverage | 05/01/2025 | |
| 2025-2026 WellNebraska Plan Summary Plan Description | 05/01/2025 |
| Description | Last Revised | Format |
|---|---|---|
| 2024-2025 WellNebraska with Incentives Plan Summary of Benefits and Coverage | 04/01/2024 | |
| 2024-2025 WellNebraska without Incentives Plan Summary of Benefits and Coverage | 04/01/2024 | |
| 2024-2025 WellNebraska Plan Summary Plan Description | 05/01/2024 |
| Description | Last Revised | Format |
|---|---|---|
| 2023-2024 WellNebraska with Incentives Plan Summary of Benefits and Coverage | 04/01/2023 | |
| 2023-2024 WellNebraska without Incentives Plan Summary of Benefits and Coverage | 04/01/2023 | |
| 2023-2024 WellNebraska Plan Summary Plan Description | 04/01/2023 |
Return to State Personnel Wellness and Benefits - Health and Perscription Plans
Consumer Focused Plan Information
2025-2026 Consumer Focused Plan| Description | Last Revised | Format |
|---|---|---|
| 2025-2026 Consumer Focused Plan Summary of Benefits and Coverage | 05/01/2025 | |
| 2025-2026 Consumer Focused Plan Summary Plan Description | 05/01/2025 | |
| 2025 July-December Consumer Focused Preventative Drug List | 05/01/2025 |
| Description | Last Revised | Format |
|---|---|---|
| 2024-2025 Consumer Focused Plan Summary of Benefits and Coverage | 04/01/2024 | |
| 2024-2025 Consumer Focused Plan Summary Plan Description | 05/01/2024 |
| Description | Last Revised | Format |
|---|---|---|
| 2023-2024 Consumer Focused Plan Summary of Benefits and Coverage | 04/01/2022 | |
| 2023-2024 Consumer Focused Plan Summary Plan Description | 04/01/2022 | |
| 2023 July - December Consumer Focused Preventative Drug List | 07/01/2023 | |
| 2024 January - June Consumer Focused Preventative Drug List | 01/01/2023 |
Return to State Personnel Wellness and Benefits - Health and Perscription Plans
Direct Primary Care Plan Information
2024-2025 Direct Primary Care PlanDiscontinued for 2024-2025.
2023-2024 Direct Primary Care Plan| Description | Last Revised | Format |
|---|---|---|
| 2023-2024 Enrollment Quick Reference Guide for Direct Primary Care | 04/01/2022 | |
| Direct Primary Care with Standard | ||
| 2023-2024 Direct Primary Care with Standard Summary Plan Description | 04/01/2022 | |
| 2023-2024 Direct Primary Care with Standard Summary and Benefits of Coverage | 04/01/2022 | |
| Direct Primary Care with Select | ||
| 2023-2024 Direct Primary Care with Select Summary Plan Description | 04/01/2022 | |
| 2023-2024 Direct Primary Care with Select Summary and Benefits of Coverage | 04/01/2022 | |
Return to State Personnel Wellness and Benefits - Health and Perscription Plans
Real Appeal Information
| Description | Last Revised | Format |
|---|---|---|
| Real Appeal Website | External | |
| Real Appeal Flyer | 04/01/2024 |
Return to State Personnel Wellness and Benefits - Health and Perscription Plans
Tricare Insurance Incentive Program
| Description | Last Revised | Format |
|---|---|---|
| Tricare Insurance Incentive Program – HR User Guide | 10/29/2024 | |
| Tricare Insurance Incentive Program – Employee User Guide | 10/29/2024 | |
| Tricare Insurance Incentive Program – FAQ | 12/10/2024 |
Return to State Personnel Wellness and Benefits - Health and Perscription Plans
Health Plan Tools
| Description | Last Revised | Format |
|---|---|---|
| myUHC.com Website | External | |
| UHC Claim Form | 08/13/2019 | |
| UHC Direct Medical Claim Form | 04/01/2025 | External |
| myHealthcare Cost Estimator | 01/27/2021 | |
| Health Insurance Marketplace Notice | 09/16/2013 | |
| General Health | ||
| Advocate for Me | 04/01/2024 | |
| Flu Shot Information | 10/08/2024 | |
| One Pass Select - Rediscover your Passion for Health | 04/01/2025 | |
| Understanding Preventative Care | 04/01/2024 | |
| UHC Community Resources | 07/22/2024 | |
| Hearing Health | ||
| Your Hearing Health | 04/01/2025 | |
| Five Things to Know about Over-the-Counter Hearing Aids | 04/01/2024 | |
| Selecting your Primary Care Provider (PCP) | ||
| Important things to know about selecting your Primary Care Provider (PCP) | 04/01/2024 | |
| UHC - Find a Doctor | External | |
| Virtual Care | ||
| UHC Virtual Primary Care | 04/01/2025 | |
| UHC Virtual Specialist Care | 04/01/2024 | |
| UHC Virtual Therapy | 04/04/2023 | |
| UHC Virtual Maven Maternity Care | 09/10/2024 | |
| UHC Calm Health App | 09/24/2024 | |
| Quit for Life | 04/01/2025 | |
| myUHC | ||
| myUHC mobile App | 02/11/2025 | |
| Adding New Dependents - Dependent Verification Process | ||
| Adding New Dependents - FAQ | 10/01/2021 | |
| Alight Security and Privacy Policy | 10/01/2021 | |
| Dependent Eligiblity | 10/01/2021 | |
Return to State Personnel Wellness and Benefits - Health and Perscription Plans
Pharmacy Plan Information
2025-2026 Pharmacy Plan| Description | Last Revised | Format |
|---|---|---|
| 2025-2026 July-December Prescription Drug List | 05/01/2025 |
| Description | Last Revised | Format |
|---|---|---|
| 2024-2025 July-December Prescription Drug List | 07/01/2024 | |
| 2024-2025 January-June Prescription Drug List | 01/01/2025 |
| Description | Last Revised | Format |
|---|---|---|
| 2023-2024 July-December Prescription Drug List | 07/01/2023 | |
| 2023-2024 January-June Prescription Drug List | 01/01/2024 |
Return to State Personnel Wellness and Benefits - Health and Perscription Plans
Pharmacy Plan Tools
| Description | Last Revised | Format |
|---|---|---|
| Medication Home Delivery Information and Signup Form | 04/04/2023 | |
| New Prescription Mail-In Order Form | 04/21/2020 | |
| Find a Pharmacy | External | |
| Member Reimbursement Pharmacy Form | 02/26/2024 | |
| Direct Pharmacy Claim Form | 04/01/2025 | |
| UHC Vital Medication Program | 01/17/2023 | |
| UHC Medication Price Edge Program | 03/26/2025 |
Return to State Personnel Wellness and Benefits - Health and Perscription Plans
State Personnel Wellness and Benefits - Dental Plan Information
- 2025-2027 Dental Plan
- 2024-2025 Dental Plan
- 2023-2024 Dental Plan
- Dental Plan Certificates
- Dental Tools
Return to State Personnel Wellness and Benefits - Benefit Plans
2025-2026 Dental Plan
| Description | Last Revised | Format |
|---|---|---|
| For 2025-2026 Dental Plan Information, see Open Enrollment Options Guide. | Online |
2024-2025 Dental Plan
| Description | Last Revised | Format |
|---|---|---|
| For 2024-2025 Dental Plan Information, see Open Enrollment Options Guide. | Online |
Return to State Personnel Wellness and Benefits - Dental Plans
2023-2024 Dental Plan
| Description | Last Revised | Format |
|---|---|---|
| For 2023-2024 Dental Plan Information, see Open Enrollment Options Guide. | Online |
Return to State Personnel Wellness and Benefits - Dental Plans
Certificates of Dental Coverage
| Description | Last Revised | Format |
|---|---|---|
| Certificate of Dental Coverage Basic | 07/01/2014 | |
| Certificate of Dental Coverage Premium | 07/01/2014 |
Return to State Personnel Wellness and Benefits - Dental Plans
Dental Tools
| Description | Last Revised | Format |
|---|---|---|
| Ameritas Dental Group Claim Form | 04/11/2018 | |
| Ameritas Website | External | |
| Ameritas Provider Search | External | |
| Ameritas Dental Wellness | External |
Return to State Personnel Wellness and Benefits - Dental Plans
State Personnel Wellness and Benefits - Vision Plan Information
Return to State Personnel Wellness and Benefits - Benefit Plans
2025-2026 Vision Plan
| Description | Last Revised | Format |
|---|---|---|
| For 2025-2026 Vision Plan Information, see Open Enrollment Options Guide. | Online | |
| 2025-2026 Vision BASIC Plan Summary of Benefits | 04/01/2025 | |
| 2025-2026 Vision PREMIUM Plan Summary of Benefits | 04/01/2025 | |
| 2025-2026 Vision Certificate of Coverage (Basic and Premium) | 04/01/2025 |
2024-2025 Vision Plan
| Description | Last Revised | Format |
|---|---|---|
| For 2024-2025 Vision Plan Information, see Open Enrollment Options Guide. | Online | |
| 2024-2025 Vision BASIC Plan Summary of Benefits | 04/01/2024 | |
| 2024-2025 Vision PREMIUM Plan Summary of Benefits | 04/01/2024 | |
| 2024-2025 Vision Certificate of Coverage (Basic and Premium) | 04/01/2024 |
Return to State Personnel Wellness and Benefits - Vision Plans
2023-2024 Vision Plan
| Description | Last Revised | Format |
|---|---|---|
| For 2023-2024 Vision Plan Information, see Open Enrollment Options Guide. | Online | |
| 2023-2024 Vision BASIC Plan Summary of Benefits | 04/01/2023 | |
| 2023-2024 Vision PREMIUM Plan Summary of Benefits | 04/01/2023 | |
| 2023-2024 Vision Certificate of Coverage (Basic and Premium) | 04/01/2023 |
Return to State Personnel Wellness and Benefits - Vision Plans
Vision Tools
| Description | Last Revised | Format |
|---|---|---|
| EyeMed Website | External | |
| EyeMed - Find an Eye Doctor | External | |
| Vision Benefits - Out of Network Claim Form | 04/11/2023 | |
| EyeSiteOnWellness Website | External | |
| Contacts Direct | 04/21/2020 | |
| Contacts Online Ordering Options | 11/05/2019 | |
| Progressive and Anti-Reflective Tier Classifications | 04/11/2023 | |
| EyeMed LASIK | 04/09/2020 |
Return to State Personnel Wellness and Benefits - Vision Plans
State Personnel Wellness and Benefits - Flexible Spending Account Plan Information
- 2025-2026 Flexible Spending Account Plan
- 2024-2025 Flexible Spending Account Plan
- 2023-2024 Flexible Spending Account Plan
- Flexible Spending Account Tools
Return to State Personnel Wellness and Benefits - Benefit Plans
2025-2026 Flexible Spending Account Plan
| Description | Last Revised | Format |
|---|---|---|
| For 2025-2026 Flexible Spending Account Plan Information, see Open Enrollment Options Guide. | Online |
Return to State Personnel Wellness and Benefits - Flexible Spending Account Plan Information
2024-2025 Flexible Spending Account Plan
| Description | Last Revised | Format |
|---|---|---|
| For 2024-2025 Flexible Spending Account Plan Information, see Open Enrollment Options Guide. | Online |
Return to State Personnel Wellness and Benefits - Flexible Spending Account Plan Information
2023-2024 Flexible Spending Account Plan
| Description | Last Revised | Format |
|---|---|---|
| For 2023-2024 Flexible Spending Account Plan Information, see Open Enrollment Options Guide. | Online |
Return to State Personnel Wellness and Benefits - Flexible Spending Account Plan Information
Flexible Spending Account Tools
| Description | Last Revised | Format |
|---|---|---|
| ASIFlex website | External | |
| Log into your ASIFlex Account | External | |
| FSA Eligible Expenses and Worksheet | 07/22/2020 | |
| Medical FSA Overview | 07/22/2020 | |
| Dependent Care FSA Overview | 07/22/2020 | |
| ASI Flex Debit Card Application | 07/22/2020 | |
| ASIFlex Claim Form | External | |
| ASIFlex Debit Card Questions and Answers | External | |
| FSA Cardless Pay | 10/29/2020 | |
| OTC Overview | 03/26/2021 | |
| Medical Flexible Spending Debit Card | External | |
| Mobile App Flyer | 09/30/2021 | |
| Recurring Direct Pay Option | 12/06/2021 | |
| ASIFlex Helpful Videos | External |
Return to State Personnel Wellness and Benefits - Flexible Spending Account Plan Information
State Personnel Wellness and Benefits - Health Saving Account Plan Information
- 2025-2026 Health Saving Account Plan
- 2024-2025 Health Saving Account Plan
- 2023-2024 Health Saving Account Plan
- Health Saving Account Tools
Return to State Personnel Wellness and Benefits - Benefit Plans
2025-2026 Health Saving Account Plan
| Description | Last Revised | Format |
|---|---|---|
| For 2025-2026 Flexible Spending Account Plan Information, see Open Enrollment Options Guide. | Online | |
| 2025-2026 Health Savings Account Authorized Agent Agreement | 04/01/2025 |
Return to State Personnel Wellness and Benefits - Health Saving Account Plan Information
2024-2025 Health Saving Account Plan
| Description | Last Revised | Format |
|---|---|---|
| For 2024-2025 Health Savings Account Plan Information, see Open Enrollment Options Guide. | Online | |
| 2024-2025 Health Savings Account Authorized Agent Agreement | 05/05/2020 |
Return to State Personnel Wellness and Benefits - Health Saving Account Plan Information
2023-2024 Health Saving Account Plan
| Description | Last Revised | Format |
|---|---|---|
| For 2023-2024 Health Savings Account Plan Information, see Open Enrollment Options Guide. | Online | |
| 2023-2024 Health Savings Account Authorized Agent Agreement | 05/05/2020 |
Return to State Personnel Wellness and Benefits - Health Saving Account Plan Information
Health Saving Account Tools
| Description | Last Revised | Format |
|---|---|---|
| Optum Bank Website | External | |
| Health Savings Account Education | External |
Return to State Personnel Wellness and Benefits - Health Saving Account Plan Information
State Personnel Wellness and Benefits - Life Insurance and AD&D Plan Information
- 2025-2026 Life Insurance and AD&D Plan
- 2024-2025 Life Insurance and AD&D Plan
- 2023-2024 Life Insurance and AD&D Plan
- Life Insurance and AD&D Forms
- Life Insurance and AD&D Programs
Return to State Personnel Wellness and Benefits - Benefit Plans
2025-2026 Life Insurance and AD&D Plan
| Description | Last Revised | Format |
|---|---|---|
| For 2025-2026 Life Insurance and Accidental Death and Dismemberment Plan Information, see Open Enrollment Options Guide. | Online | |
| Certificate of Coverage | 10/01/2021 | |
| Certificate of Insurance | 05/08/2019 |
State Personnel Wellness and Benefits - Life Insurance and AD&D Plan Information
2024-2025 Life Insurance and AD&D Plan
| Description | Last Revised | Format |
|---|---|---|
| For 2024-2025 Life Insurance and Accidental Death and Dismemberment Plan Information, see Open Enrollment Options Guide. | Online | |
| Certificate of Coverage | 10/01/2021 | |
| Certificate of Insurance | 05/08/2019 |
State Personnel Wellness and Benefits - Life Insurance and AD&D Plan Information
2023-2024 Life Insurance and AD&D Plan
| Description | Last Revised | Format |
|---|---|---|
| For 2023-2024 Life Insurance and Accidental Death and Dismemberment Plan Information, see Open Enrollment Options Guide. | Online | |
| Certificate of Coverage | 10/01/2021 | |
| Certificate of Insurance | 05/08/2019 |
State Personnel Wellness and Benefits - Life Insurance and AD&D Plan Information
Life Insurance and AD&D Forms
| Description | Last Revised | Format |
|---|---|---|
| Evidence of Insurability Statement Life Coverage | 09/18/2024 | |
| Evidence of Insurability Life Coverage Form Instructions | 09/18/2024 | |
| Notice of Conversion and Portability Rights Application | 04/11/2024 | |
| Proof of Death Form | 04/23/2019 | |
| How to File a Life Insurance Claim (or you can call 888-563-1124) | 03/25/2019 | |
| Life Premium Waiver (Disability) Form | 04/23/2019 | |
| Request for an Accelerated Death Benefit | 04/01/2025 |
State Personnel Wellness and Benefits - Life Insurance and AD&D Plan Information
Life Insurance and AD&D Programs
| Description | Last Revised | Format |
|---|---|---|
| Life Essentials | 04/01/2025 | |
| Empathy Beneficiary | 04/01/2025 | |
| Empathy Employee | 04/01/2025 | |
| Travel Assistance and ID Theft Protection | 04/01/2025 | |
| Funeral Planning Services | 07/16/2018 | |
| Estate Planning | 05/24/2018 |
State Personnel Wellness and Benefits - Life Insurance and AD&D Plan Information
State Personnel Wellness and Benefits - Long-Term and Short-Term Disability Benefits Information
Short-Term Disability
Short-Term Disability (STD) provides a tax-free payout of up to 60% of your weekly paycheck as of the 1st day of injury or the 8th day of a sickness if you experience a qualifying disability and are unable to perform your job duties. This can continue for up to a Maximum of 26 weeks.
- 2025-2026 Short-Term Disability Benefits
- 2024-2025 Short-Term Disability Benefits
- 2023-2024 Short-Term Disability Benefits
- Short-Term Disability Tools
Long-Term Disability
Long-Term Disability (LTD) provides a tax-free payout of up to 60% of your monthly income benefit if you become disabled and are unable to work due to illness or injury. You will have to complete a 6 month elimination period.
- 2025-2026 Long-Term Disability Benefits
- 2024-2025 Long-Term Disability Benefits
- 2023-2024 Long-Term Disability Benefits
- Long-Term Disability Tools
Return to State Personnel Wellness and Benefits - Benefit Plans
2025-2026 Short-Term Disability Benefits
| Description | Last Revised | Format |
|---|---|---|
| For 2025-2026 Short-Term Disability Plan Information, see Open Enrollment Options Guide. | Online | |
| 2025-2026 Short-Term Disability Rates | 04/01/2025 | |
| 2025-2026 Short-Term Disability Certification of Coverage | TODO | |
| 2025-2026 Short-Term Disability Calculator | 04/01/2025 | Excel |
2024-2025 Short-Term Disability Benefits
| Description | Last Revised | Format |
|---|---|---|
| For 2024-2025 Short-Term Disability Plan Information, see Open Enrollment Options Guide. | Online | |
| 2024-2025 Short-Term Disability Rates | 04/01/2024 | |
| 2024-2025 Short-Term Disability Certification of Coverage | 12/03/2024 | |
| 2024-2025 Short-Term Disability Calculator | 04/01/2024 | Excel |
2023-2024 Short-Term Disability Benefits
| Description | Last Revised | Format |
|---|---|---|
| For 2023-2024 Short-Term Disability Plan Information, see Open Enrollment Options Guide. | Online | |
| 2023-2024 Short-Term Disability Rates | 04/01/2022 | |
| 2023-2024 Short-Term Disability Certification of Coverage | 04/01/2022 | |
| 2023-2024 Long-Term, Short-Term Disability Amendment 1 | 12/03/2024 | |
| 2023-2024 Long-Term, Short-Term Disability Amendment 2 | 12/03/2024 | |
| 2023-2024 Long-Term, Short-Term Disability Amendment 3 | 12/03/2024 | |
| 2023-2024 Short-Term Disability Calculator | 04/01/2022 | Excel |
Short-Term Benefits Tools
| Description | Last Revised | Format |
|---|---|---|
| Short-Term Disability Member Welcome | 04/01/2023 | |
| Key Short-Term Disability information | 04/01/2023 | |
| Group Disability Insurance-Evidence of Insurability Form | 04/01/2023 | |
| Submit Short-Term Disability Claims | 04/01/2023 |
2025-2026 Long-Term Disability Benefits
| Description | Last Revised | Format |
|---|---|---|
| For 2025-2026 Long-Term Disability Plan Information, see Open Enrollment Options Guide. | Online | |
| 2025-2026 Long Term Disability Rates | 04/01/2025 | |
| 2025-2026 Long-Term Disability Certificate of Coverage | TODO | |
| 2025-2026 Long-Term Disability Calculator | 04/01/2025 | Excel |
2024-2025 Long-Term Disability Benefits
| Description | Last Revised | Format |
|---|---|---|
| For 2024-2025 Long-Term Disability Plan Information, see Open Enrollment Options Guide. | Online | |
| 2024-2025 Long-Term Disability Certificate of Coverage | 04/01/2024 | |
| 2024-2025 Long-Term Disability Calculator | 04/01/2024 | Excel |
2023-2024 Long-Term Disability Benefits
| Description | Last Revised | Format |
|---|---|---|
| For 2023-2024 Long-Term Disability Plan Information, see Open Enrollment Options Guide. | Online | |
| 2023-2024 Long-Term Disability Certificate of Coverage | 04/01/2023 | |
| 2023-2024 Long-Term Disability Calculator | 04/01/2023 | Excel |
Long-Term Benefits Tools
| Description | Last Revised | Format |
|---|---|---|
| Long-Term Disability Member Welcome | 04/01/2023 | |
| Key Long-Term Disability information | 04/01/2023 | |
| Group Disability Insurance-Evidence of Insurability Form | 04/01/2023 | |
| Submit Long-Term Disability Claims | 04/01/2023 | |
| Long-Term Disability Portability Application | 04/01/2023 |
State Personnel Wellness and Benefits - Employee Assistance Program (EAP) Information
| Description | Last Revised | Format |
|---|---|---|
| What to Expect from EAP | 04/02/2020 | |
| AllOne Health EAP Program Enhancements | 01/01/2025 | |
| AllOne Health EAP Services | 04/14/2023 | |
| Legal and Financial Services | 04/21/2020 | |
| Enhanced Work Life Program | 01/19/2016 | |
| EAP Telehealth Counseling | 04/09/2020 | |
| AllOne Health EAP Services Log On (Sign Up, Create Account: Company Code SON plus use work email address) | External | |
| AllOne Health Management Referral Guide | 08/05/2024 | |
| AllOne Health Management Referral Form | 07/09/2024 | |
| Gambling in the Workplace Video | Vimeo |
Return to State Personnel Wellness and Benefits - Benefit Plans
State Personnel Wellness and Benefits - Tuition Reimbursement for Dependents
| Description | Last Revised | Format |
|---|---|---|
| Employee Dependent Tuition Reimbursement FAQ | 06/24/2024 | |
| Employee Dependent Tuition Reimbursement Request Form | 06/25/2024 | |
| Employee Dependent Tuition Reimbursement Eligibility Verification Form | 06/25/2024 |
Risk Management
Risk Management - State Claims
- Tort Claims
- Miscellaneous Claims
- Uncashed Warrant Claims
- Contract Claims
- Foster Care Claims
- In the Line of Duty Claims
- Correspondences to State Agencies
| TORT CLAIMS |
|---|
| A claim against the State of Nebraska for damage to or loss of property or for personal injury or death caused by the negligent or wrongful act or omission of a State employee while acting within the scope of employment. |
| Description | Last Revised | Format |
|---|---|---|
| State Tort Claims Act at Neb. Rev. Stat §§81-8,209 to 81-8,235 | External | |
| Tort/Miscellaneous Claim Form | 06/28/2018 | |
| How to File a Tort Claim | 05/17/2021 |
Return to Risk Management - State Claims
| MISCELLANEOUS CLAIMS |
|---|
| A claim against the State of Nebraska for which there is no specific provision of law for the resolution of such claim. Typically miscellaneous claims include but are not limited to: reimbursement for a State teammate’s personal property that was damaged during the course and scope of employment, or a reimbursement for overpayment of goods or services. |
| Description | Last Revised | Format |
|---|---|---|
| State Miscellaneous Claims Act (includes uncashed warrants): Neb. Rev. Stat. §§ 81-8,294 to 81-8,301 | External | |
| Tort/Miscellaneous Claim Form | 06/28/2018 | |
| Tort/Miscellaneous Claim Form for inmates at NDCS, only | 06/28/2018 | |
| How to File a Miscellaneous Claim | 05/17/2021 |
Return to Risk Management - State Claims
| UNCASHED WARRANT CLAIMS |
|---|
| A claim to have an uncashed check/warrant reissued. These items expire one year after the date the check/warrant was issued. If a copy of the warrant is not available, an affidavit regarding the lost or missing warrant must accompany the claim form. |
| Description | Last Revised | Format |
|---|---|---|
| Uncashed Warrant Claim Form | 06/28/2018 | |
| Affidavit Regarding Lost or Missing Warrant | 03/03/2016 | |
| How to File an Uncashed Warrant Claim | 05/17/2021 | |
| W9 Form | External |
Return to Risk Management - State Claims
| CONTRACT CLAIMS |
|---|
| A claim involving a dispute regarding a contract between the State of Nebraska and the Claimant. The Contract Claim Act does not cover employment contracts under the State Personnel System or the State Employees Collective Bargaining Act. |
| Description | Last Revised | Format |
|---|---|---|
| State Contract Claims Act: Neb. Rev. Stat. §§ 81-8,302 to 81-8306 | External | |
| Contract Claim Form | 06/22/2018 | |
| How to File a Contract Claim | 05/17/2021 |
Return to Risk Management - State Claims
| FOSTER CARE CLAIMS |
|---|
| A foster care claim may be filed when a foster child(ren) has been involved in an incident resulting in property damage or bodily injury to others. |
| Description | Last Revised | Format |
|---|---|---|
| Foster Care Claim by Foster Parent Form | 09/25/2018 | |
| Foster Care Claim by Non Foster Parent Form | 05/17/2022 |
Return to Risk Management - State Claims
| IN THE LINE OF DUTY CLAIMS |
|---|
| A claim for first responders killed in the line of duty. (Program Begins 1 January 2022). |
| Description | Last Revised | Format |
|---|---|---|
| In the Line of Duty Compensation Act: Neb. Rev. Stat. §§ 81-8,315 to 81-8,319 | External | |
| Line of Duty Claim Guidelines | 08/07/2024 | |
| Line of Duty Compensation Act Beneficiary Form | 05/23/2024 | |
| Line of Duty Compensation Act Claim Form | 01/01/2024 | |
| How to File a Line of Duty Compensation Act Claim | 01/01/2024 |
Return to Risk Management - State Claims
| CORRESPONDENCE TO STATE AGENCIES |
|---|
| A claim for first responders killed in the line of duty. (Program Begins 1 January 2022). |
| Description | Last Revised | Format |
|---|---|---|
| Debt Write-Off Procedures and Request for Write-Off for State Agencies | 09/23/2024 | |
| Request for Write Off of Uncollectible Debt Form for State Agencies | 09/06/2022 |
Return to Risk Management - State Claims
Risk Management - State Insurance
- Agency Certificate of Insurance
- How to File an Insurance Claim
- Annual Insurance Policy Letters
- Auto Insurance
- State of Nebraska Insurance Policies
| AGENCY CERTIFICATE OF SELF-INSURANCE |
|---|
|
If an agency needs a Certificate of Insurance specifically listing the agency's name or other information, please complete the Form to Request Certificate of Self-Insurance and email it to the address listed on the form. |
| Description | Last Revised | Format |
|---|---|---|
| Form to Request Certificate of Self-Insurance | 07/03/2018 | |
| Certificate of Self-Insurance Instructions to Agencies | 07/01/2023 |
Return to Risk Management - State Insurance
| HOW TO FILE AN INSURANCE CLAIM |
|---|
|
Instructions for Agencies on how to file a State Insurance claim. |
| Description | Last Revised | Format |
|---|---|---|
| All damage to or loss of property should be reported to NRMA, the State's Third-Party Administrator, via the online reporting website within 24 hours. | Online | |
| How to Report Insurance Claims for State of Nebraska Agencies | 11/15/2024 | |
| Incident Report Form for Claims Exceeding Deductible (NOTE: This form is NOT for vehicle accidents.) | 06/25/2018 | |
| Driver Motor Vehicle Accident Report | 10/01/2020 |
Return to Risk Management - State Insurance
| AUTO INSURANCE |
|---|
|
Information for Agencies regarding State Insurance for Automobiles. |
| Description | Last Revised | Format |
|---|---|---|
| State of Nebraska Motor Vehicle Policy | 11/15/2024 | |
| State of Nebraska Automobile Insurance Card | 04/29/2024 | |
| State of Nebraska State Vehicle Waiver | 02/01/2022 |
Return to Risk Management - State Insurance
| ANNUAL INSURANCE POLICY LETTERS |
|---|
|
Annual information for Agencies for State Insurance. |
| Description | Last Revised | Format |
|---|---|---|
| Current Building Replacement Rates for Insurance | 02/14/2025 | |
| State of Nebraska Annual Insurance Renewal for Current Fiscal Year | 01/15/2025 |
Return to Risk Management - State Insurance
| STATE OF NEBRASKA INSURANCE POLICIES |
|---|
|
Policies related to State of Nebraska Insurance. |
| Description | Last Revised | Format |
|---|---|---|
| State of Nebraska Contract Risk Management and Insurance Manual | 02/28/2020 | |
| State of Nebraska Bonding with Crime Insurance Policies | 11/18/2024 |
Return to Risk Management - State Insurance
Risk Management - Statewide Safety Committee
- Safety Committee Charter
- Report Unsafe Conditions to the Statewide Safety Committee
- Safety Committee Minutes
| SAFETY COMMITTEE CHARTER AND MEMBERSHIP |
|---|
|
The Workers’ Compensation reform Act of 1993 (LB 757) required all employers, including the state of Nebraska, to create safety committees. The Act stipulated that each committee would be created with equal representation from labor and management. The committee established by the state to meet this requirement is called the Statewide Safety Committee. The committee adopted its mission statement; “To promote a safe and healthy work environment for all Nebraska state employees.” |
| Description | Last Revised | Format |
|---|---|---|
| State of Nebraska Safety Committee Charter | 04/27/2016 | |
| State of Nebraska Safety Committee Basic Program Guidelines | 11/28/2016 | |
| State of Nebraska Safety Committee Membership | 11/29/2022 |
Return to Risk Management - Safety Committee
| REPORT UNSAFE CONDITIONS TO THE STATEWIDE SAFETY COMMITTEE |
|---|
|
The Statewide Safety Committee is here to support all state employees. If you have a concern about safety, please use this form to report unsafe conditions to the Safety Committee. |
| Description | Last Revised | Format |
|---|---|---|
| Report Unsafe Conditions to the Safety Committee | 05/24/2017 |
Return to Risk Management - Safety Committee
| STATEWIDE SAFETY COMMITTEE MINUTES |
|---|
|
Minutes from the Statewide Safety Committee Meetings. |
| Description | Last Revised | Format |
|---|---|---|
| 2024 Safety Committee Minutes | ||
| July 2024 Safety Committee Minutes | 07/23/2024 | |
| May 2024 Safety Committee Minutes | 05/28/2024 | |
| March 2024 Safety Committee Minutes | 03/25/2024 | |
| January 2024 Safety Committee Minutes | 01/31/2024 | |
| 2023 Safety Committee Minutes | ||
| May 2023 Safety Committee Minutes | 05/23/2023 | |
| March 2023 Safety Committee Minutes | 03/28/2023 | |
| January 2023 Safety Committee Minutes | 01/31/2023 | |
| 2022 Safety Committee Minutes | ||
| November 2022 Safety Committee Minutes | 11/29/2022 | |
| September 2022 Safety Committee Minutes | 09/28/2022 | |
| July 2022 Safety Committee Minutes | 07/26/2022 | |
| May 2022 Safety Committee Minutes | 05/24/2022 | |
| March 2022 Safety Committee Minutes | 03/29/2022 | |
| January 2022 Safety Committee Minutes | 01/24/2022 | |
| 2021 Safety Committee Minutes | ||
| November 2021 Safety Committee Minutes | 11/30/2021 | |
| September 2021 Safety Committee Minutes | 09/28/2021 | |
| July 2021 Safety Committee Minutes | 07/27/2021 | |
| May 2021 Safety Committee Minutes | 05/25/2021 | |
| March 2021 Safety Committee Minutes | 03/23/2021 | |
| January 2021 Safety Committee Minutes | 01/19/2021 | |
| 2020 Safety Committee Minutes | ||
| January 2020 Safety Committee Minutes | 01/21/2023 | |
Return to Risk Management - Safety Committee
Risk Management - Workers' Compensation
- Workers' Compensation Training
- Reporting Injury - Initial Completion of Forms
- Agency HR - Directives to the Injured Employee
- Agency HR - After Claim has been Filed
- U.S. Bank ReliaCard
| WORKERS' COMPENSATION TRAINING |
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The workers’ compensation program for State of Nebraska employees is administered by the Department of Administrative Services, Risk Management Division. |
| Description | Last Revised | Format |
|---|---|---|
| Workers' Compensation Policy and Procedure Manual | 07/14/2022 | |
| Workers' Compensation Policy and Procedure Video | 07/14/2022 |
Return to Risk Management - Workers' Compensation
| REPORTING INJURY - INITIAL COMPLETION OF FORMS |
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When an injury occurs, it should be reported immediately to the employee’s supervisor or Agency HR. The injured employee must complete the following forms and turn them in to Agency HR:
Supervisors shall complete and submit to agency human resources representative:
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| Description | Last Revised | Format |
|---|---|---|
| Employee Incident Report | 02/16/2018 | |
| Authorization for Release of Information (HIPAA Compliant) | 02/16/2018 | |
| Employee’s Choice or Change of Doctor Form (Form 50) | 03/01/2018 | |
| Supervisor Investigation Report | 02/16/2018 | |
| Witness Statement (Supervisor should have all individuals who witness the injury complete this form.) | 02/16/2018 |
Return to Risk Management - Workers' Compensation
| AGENCY HR - DIRECTIVES TO THE INJURED EMPLOYEE |
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Medical Treatment Needed: Agency HR should provide the injured employee with the following forms and information:
Medical Treatment NOT Needed: Agency HR should provide the injured employee with the following forms and information:
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| Description | Last Revised | Format |
|---|---|---|
| 7 Day Wait Period Acknowledgment Form | 02/16/2018 | |
| Request to Supplement Workers’ Compensation Benefits Form | 02/16/2018 | |
| Report of Work Ability | 09/16/2022 | |
| myMatrixx First Fill Form (Replaces First Script Pharmacy Card) | 02/16/2018 | |
| Mileage Reimbursement Form | 02/16/2018 | |
| Pamphlet on GBGO App | 02/16/2018 |
Return to Risk Management - Workers' Compensation
| AGENCY HR - AFTER CLAIM HAS BEEN FILED |
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After the claim has been filed, Agency HR should complete and submit the following forms to the assigned Resolution Manager on the newly filed workers’ compensation claim:
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| Description | Last Revised | Format |
|---|---|---|
| Wage Statement | 02/16/2018 | |
| Payroll Benefit Analysis - Biweekly | 02/16/2018 | |
| Payroll Benefit Analysis - Monthly | 02/16/2018 |
Return to Risk Management - Workers' Compensation
| U.S. BANK RELIACARD INFORMATION |
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ReliaCard: A reloadable prepaid debit card for government agencies to deliver timely workers' compensation payments. |
| Description | Last Revised | Format |
|---|---|---|
| U.S. Bank ReliaCard Flyer | 10/05/2022 | |
| U.S. Bank ReliaCard Pre-Acquisition Disclosure | 05/12/2023 | |
| U.S. Bank ReliaCard Frequently Asked Questions | 10/05/2022 |
Return to Risk Management - Workers' Compensation
Task Force for Building Renewal (309)
| 309 TASK FORCE FORMS |
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| The 309 Task Force Division was created to address the State's significant deferred building renewal needs in State-owned facilities by providing funding and oversight of building upgrades. The Task Force reviews proposed projects, as requested by State Agencies, and makes recommendations for funding to the governor. |
| Description | Last Revised | Format |
|---|---|---|
| 309 Task Force Handbook | 12/01/2016 | |
| Prioritization of Rural Allocations and Reduction of Agency General Fund Liabilities | 08/22/2024 | |
| Allocation Request Form | Online | |
| Allocation Increase Request Form | Online | |
| Final Report Form | Online | |
| Roof Scan Request Form | Online |
Transportation Services Bureau
| Description | Last Revised | Format |
|---|---|---|
| If you are unable to access or open the Transportation Services Bureau (TSB) forms, please contact (402) 471-2897 or (402) 471-2898 for assistance. | ||
| Form J To be completed and returned to TSB when your agency requests a new permanently assigned TSB lease vehicle – OR – for a change in vehicle type/upgrade of designated TSB lease vehicles. Please note – changes in vehicle type/upgrades are reviewed ONLY during TSB’s annual vehicle replacement cycle. Completion of Form J does not guarantee an upgrade and/or change in vehicle type. |
07/03/2014 | Word |
| Form J Instructions | 07/03/2014 | Word |
| Transportation Request Form To be completed and presented to TSB staff when renting a TSB Motor Pool vehicle. The Transportation Request is exempt if your agency has a Universal Travel Authorizations form (below) on file with TSB. |
08/06/2015 | |
| Universal Travel Authorizations Utilized by your agency in lieu of the Transportation Request Form (above). |
08/06/2015 | |
| Official TSB Travel Logs To be completed per Statute 81-1025 (below). |
07/16/2014 | |
| Statute 81-1025 | External | |