DAS Website: Forms & Documents

Directors Office

ADA Task Force
Grievance Form
General Counsel and Compliance
Guidance Document Request Form Title 10 - Department of Administrative Services - Administration Rules & Regulations Title 12 - Department of Administrative Services, Rules & Regulations Concerning the Approval of Contracts for Personal Services Title 9 - Materiel Division Rules & Regulations State Purchasing Bureau Protest/Grievance Procedures State Purchasing Bureau Vendor Manual Vendor Application and Instructions Title 6 - Office of the Capitol Commission, Rules and Regulations Governing Use of the State Capitol, Lincoln, Nebraska Campaigning Guidelines Drone and UAV Guidelines Exterior Lighting Guidelines Family Photo Guidelines First Floor Display Guidelines Leafletting Guidelines News Conference Guidelines Rally Guidelines Printed Material Distribution Guidelines Promenade Deck Access Guidelines Second Floor Rotunda Program Guidelines Smoking Guidelines Wedding Guidelines Wedding Photography Guidelines State Claims Board Rules and Regulations Title 10 - Department of Administrative Services - Social Security Bureau Rules & Regulations Title 7 - Department of Administrative Services - Building Division Rules & Regulations Chapter 2 – Leasing Privately Owned Real Property (Click here for current version) External Leasing Manual Parking Manual Procedural Manual for Capital Construction Projects Title 273 – State of Nebraska Classified Personnel System Rules & Regulations State of Nebraska Classification & Pay Plan Title 8 – Transportation Services Bureau Rules and Regulations Nebraska State Government International Relations Policy

Accounting

Payroll

MANUALS
Accounting Manual
Accounts Payable
2022 Expense Reimbursement Doc - EFFECTIVE 1-1-2022 - XLSX
2021 Expense Reimbursement Doc - EFFECTIVE 1-1-2021 TO 9-30-2021 - XLSX
2021 Expense Reimbursement Doc - EFFECTIVE 10-1-2021 TO 12-31-2021 - XLSX
ERD Training Video
Accounts Payable Warrant Cancellation Form
Fund Application - PDF
Investment Authorization" - PDF
Petty Cash Fund Application- PDF
Request for Stop Pay-Replacement Warrant Form
Warrant Cancellation Certification - PDF
State of Nebraska W9 - PDF
State of Nebraska Form 13 - PDF
Interims
Interim Payroll Information
Payroll Card
Video – Focus Payroll Card
Direct Deposit Enrollment Form - PDF
Focus Card Enrollment Form" - PDF
Payroll Card Instruction
Payroll Card Fees - PDF
Payroll Card Limits - PDF
Payroll Certification Mini-Manual
Mini-Manual
Payroll Certification Form Instructions - DOC
Payroll Certification Form - XLS
Payroll Certification Checklist - PDF
Payroll Processing Schedules
2021 Payroll Processing Schedule - Biweekly - PDF
2021 Payroll Processing Schedule - Monthly - PDF
2020 Payroll Processing Schedule - Biweekly - PDF
2020 Payroll Processing Schedule - Monthly - PDF
2019 Payroll Processing Schedule - Biweekly - PDF
2019 Payroll Processing Schedule - Monthly - PDF
2018 Payroll Processing Schedule - Biweekly - PDF
2018 Payroll Processing Schedule - Monthly - PDF
Payroll Hours in Calendar or Fiscal Year - XLS
Payroll Forms
Employer
Employer Report of Special Payments - PDF
Instructions for the Payroll Calculation Form
Interim Direct Payment Worksheet - XLS
Interim Worksheet - XLS
Payroll Calculation Form - XLSX
Payroll Certification Checklist - PDF
Payroll Certification Form - XLS
Payroll Certification Form Instructions - DOC
Service Date Adjustment Form - XLS
E1 W4 Instructions - PDF
W2 Reprint Request Form - PDF
Employee
Direct Deposit Enrollment Form - PDF
Employee Electronic Receipt of Form W-2 - PDF
Payroll Calculation Tables
FOCUS Card Information Form - PDF
Payroll Card Instructions
Retirement Estimator

Internal Control

Internal Control Guidance
About Internal Control & Five Components of Internal Controls Memorandum of Understanding - Shaping a Culture of Accountability Memorandum of Understanding - Shaping a Culture of Accountability(Agency with less than 7 employees)
Internal Control Tools
Brainstorming Techniques Continuous Risk Process Event Tree - Actions applied to an event (risk) and expected consequences of those actions Model Internal Control Plan Process Matrix Risk Assessment Methods and Measures Risk Identification and Evaluation Risk Assessment Tool Kit Risk Assessment Technique Considerations SWOT (Strengths, Weaknesses, Opportunities, Threats) Profile Response Profile Fill-in Form
Self-Assessment Tools
Entity Level Controls Expenditures and Disbursements Example Questions for Individuals or Focus Groups
Other Tools
Sample Internal Controls Checklist Small Agency Finance Management Self-Assessment Tool
Correspondence
Federal Grant Reform Webinars (05/01/14) Employee Expense Reimbursement (03/18/14)

Purchasing Card

Purchasing Card Program
Purchasing Card Manual Purchasing Card Request Form Send a completed and signed form to AS State Account via email. Purchasing Card Instructions Agency and Individual Card Blocking

Master Lease

Master Lease Purchase Program
Master Lease Purchase Program Manual Certificate of Official Intent Form (PDF fillable) Agency Authorization Form (PDF fillable) Equipment Schedule Form (PDF fillable)

Annual Budgetary Report

Fiscal Year
2020 2019 2018 2017 2016 2015

Comprehensive Annual Financial Report

Fiscal Year
2020 2019 2018 2017 2016 2015

Monthly Reports
Statewide Budget Summary Status Report Allotment Status Report Budget Status Report Construction Summary Report Fund Summary by Fund Report Grant Project Status Report Grant Project Summary Report Personal Service Limitation Status Report Program Summary by Subprogram Report Program Summary Report Statewide Budget Summary Status Report Allotment Status Report Budget Status Report Construction Summary Report Fund Summary by Fund Report Grant Project Status Report Grant Project Summary Report Personal Service Limitation Status Report Program Summary by Subprogram Report Program Summary Report Statewide Budget Summary Status Report Allotment Status Report Budget Status Report Construction Summary Report Fund Summary by Fund Report Grant Project Status Report Grant Project Summary Report Personal Service Limitation Status Report Program Summary by Subprogram Report Program Summary Report Statewide Budget Summary Status Report Allotment Status Report Budget Status Report Construction Summary Report Fund Summary by Fund Report Grant Project Status Report Grant Project Summary Report Personal Service Limitation Status Report Program Summary by Subprogram Report Program Summary Report Statewide Budget Summary Status Report Allotment Status Report Budget Status Report Construction Summary Report Fund Summary by Fund Report Grant Project Status Report Grant Project Summary Report Personal Service Limitation Status Report Program Summary by Subprogram Report Program Summary Report Statewide Budget Summary Status Report Allotment Status Report Budget Status Report Construction Summary Report Fund Summary by Fund Report Grant Project Status Report Grant Project Summary Report Personal Service Limitation Status Report Program Summary by Subprogram Report Program Summary Report Statewide Budget Summary Status Report Allotment Status Report Budget Status Report Construction Summary Report Fund Summary by Fund Report Grant Project Status Report Grant Project Summary Report Personal Service Limitation Status Report Program Summary by Subprogram Report Program Summary Report Statewide Budget Summary Status Report Allotment Status Report Budget Status Report Construction Summary Report Fund Summary by Fund Report Grant Project Status Report Grant Project Summary Report Personal Service Limitation Status Report Program Summary by Subprogram Report Program Summary Report Allotment Status Report Budget Status Report Budget Status Summary Report Construction Summary Report Fund Summary by Fund Report Grant Project Status Report Grant Project Summary Report Personal Service Limitation Status Report Program Summary by Subprogram Report Allotment Status Report Budget Status Report Budget Status Summary Report Construction Summary Report Fund Summary by Fund Report Grant Project Status Report Grant Project Summary Report Personal_Service Limitation Status Report Program Summary by Subprogram Report Program Summary Report Allotment Status Report Budget Status Report Budget Status Summary Report Construction Summary Report Fund Summary by Fund Report Grant Project Status Report Grant Project Summary Report Personal Service Limitation Status Report Program Summary by Subprogram Report Program Summary Report Allotment Status Report Budget Status Report Budget Status Summary Report Construction Summary Report Fund Summary by Fund Report Grant Project Status Report Grant Project Summary Report Personal Service Limitation Status Report Program Summary by Subprogram Report Program Summary Report Statewide Budget Summary Status Report Allotment Status Report Budget Status Report Construction Summary Report Fund Summary by Fund Report Grant Project Status Report Grant Project Summary Report Personal Service Limitation Status Report Program Summary by Subprogram Report Program Summary Report Statewide Budget Summary Status Report Allotment Status Report Budget Status Report Construction Summary Report Fund Summary by Fund Report Grant Project Status Report Grant Project Summary Report Personal Service Limitation Status Report Program Summary by Subprogram Report Program Summary Report Statewide Budget Summary Status Report Allotment Status Report Budget Status Report Construction Summary Report Fund Summary by Fund Report Grant Project Status Report Grant Project Summary Report Personal Service Limitation Status Report Program Summary by Subprogram Report Program Summary Report Statewide Budget Summary Status Report Allotment Status Report Budget Status Report Construction Summary Report Fund Summary by Fund Report Grant Project Status Report Grant Project Summary Report Personal Service Limitation Status Report Program Summary by Subprogram Report Program Summary Report Statewide Budget Summary Status Report Allotment Status Report Budget Status Report Construction Summary Report Fund Summary by Fund Report Grant Project Status Report Grant Project Summary Report Personal Service Limitation Status Report Program Summary by Subprogram Report Program Summary Report Statewide Budget Summary Status Report Allotment Status Report Budget Status Report Construction Summary Report Fund Summary by Fund Report Grant Project Status Report Grant Project Summary Report Personal Service Limitation Status Report Program Summary by Subprogram Report Program Summary Report Statewide Budget Summary Status Report Allotment Status Report Budget Status Report Construction Summary Report Fund Summary by Fund Report Grant Project Status Report Grant Project Summary Report Personal Service Limitation Status Report Program Summary by Subprogram Report Program Summary Report Statewide Budget Summary Status Report Allotment Status Report Budget Status Report Construction Summary Report Fund Summary by Fund Report Grant Project Status Report Grant Project Summary Report Personal Service Limitation Status Report Program Summary by Subprogram Report Program Summary Report Statewide Budget Summary Status Report Allotment Status Report Budget Status Report Construction Summary Report Fund Summary by Fund Report Grant Project Status Report Grant Project Summary Report Personal Service Limitation Status Report Program Summary by Subprogram Report Program Summary Report Statewide Budget Summary Status Report Allotment Status Report Budget Status Report Construction Summary Report Fund Summary by Fund Report Grant Project Status Report Grant Project Summary Report Personal Service Limitation Status Report Program Summary by Subprogram Report Program Summary Report Statewide Budget Summary Status Report Allotment Status Report Budget Status Report Construction Summary Report Fund Summary by Fund Report Grant Project Status Report Grant Project Summary Report Personal Service Limitation Status Report Program Summary by Subprogram Report Program Summary Report Statewide Budget Summary Status Report Allotment Status Report Budget Status Report Construction Summary Report Fund Summary by Fund Report Grant Project Status Report Grant Project Summary Report Personal Service Limitation Status Report Program Summary by Subprogram Report Program Summary Report Statewide Budget Summary Status Report Allotment Status Report Budget Status Report Construction Summary Report Fund Summary by Fund Report Grant Project Status Report Grant Project Summary Report Personal Service Limitation Status Report Program Summary by Subprogram Report Program Summary Report Statewide Budget Summary Status Report Allotment Status Report Budget Status Report Construction Summary Report Fund Summary by Fund Report Grant Project Status Report Grant Project Summary Report Personal Service Limitation Status Report Program Summary by Subprogram Report Program Summary Report

The Nebraska Investment Council invests the available money from the State’s general fund and State boards, commissions, departments or agencies, and any other state funds not currently needed, into the Operating Investment Pool. The Department of Administrative Services - State Accounting Agency calculates the average daily balance for each participant and distributes the earned income monthly on a pro-rata share basis.

2020

January (2/24/20 G/L Date)

February (3/24/20 G/L Date)

March (4/22/20 G/L Date)

April (5/21/2020 G/L Date)

May (6/23/2020 G/L Date)

June (7/21/2020 G/L Date)

July (8/24/2020 G/L Date)

August (9/25/2020 G/L Date)

September (10/27/2020 G/L Date)

October

November

December

2019

January (2/22/19 G/L Date)

February (3/26/2019 G/L Date)

March (4/22/2019 G/L Date)

April (5/24/2019 G/L Date)

May (6/19/2019 G/L Date)

June (7/24/2019 G/L Date)

July (8/26/2019 G/L Date)

August (9/24/2019 G/L Date)

September (10/25/2019 G/L Date)

October (11/21/2019 G/L Date)

November (12/19/2019 G/L Date)

December (1/27/2020 G/L Date)

2018

January (2/21/18 G/L Date)

February (3/23/18 G/L Date)

March (4/23/18 G/L Date)

April (5/24/18 G/L Date)

May (6/22/18 G/L Date)

June (7/26/18 G/L Date)

July (8/22/18 G/L Date)

August (9/25/18 G/L Date)

September (10/23/18 G/L Date)

October (11/12/18 G/L Date)

November (12/21/18 G/L Date)

December (1/24/19 G/L Date)

2017

January (2/28/17 G/L Date)

February (3/23/17 G/L Date)

March (4/24/17 G/L Date)

April (5/31/17 G/L Date)

May (6/23/17 G/L Date)

June (7/20/17 G/L Date)

July (8/28/2017 G/L Date)

August (9/28/2017 G/L Date)

September (10/25/2017 G/L Date)

October (11/22/2017 G/L Date)

November (12/22/2017 G/L Date)

December (1/24/2018 G/L Date)

2016

January (2/26/16 G/L Date)

February (3/22/16 G/L Date)

March (4/21/16 G/L Date)

April (5/23/16 G/L Date)

May (6/21/16 G/L Date)

June (7/22/16 G/L Date)

July (8/29/16 G/L Date)

August (9/26/16 G/L Date)

September (10/17/16 G/L Date)

October (11/23/16 G/L Date)

November (12/21/16 G/L Date)

December (1/26/17 G/L Date)

2015

January (2/20/15 G/L Date)

February (3/24/15 G/L Date)

March (4/17/15 G/L Date)

April (5/19/15 G/L Date)

May (6/18/15 G/L Date)

June (7/22/15 G/L Date)

July (8/24/15 G/L Date)

August (9/22/15 G/L Date)

September (10/23/15 G/L Date)

October (11/24/15 G/L Date)

November (12/28/15 G/L Date)

December (01/26/16 G/L Date)

The Statewide Cost Allocation Plan (SWCAP) is a statistical method of allocating central government costs to the state agencies that receive central government supportive services.

2017

PDF | approved 05/31/19
2016

PDF | approved 02/14/17
2015

PDF | approved 12/17/15
ISF Balance Guidence

PDF

Date	Subject
12/14/20	Other Taxable Income
1/28/21	2021 Expense Reimbursement Request
12/1/20	2020 Expense Reimbursement Request
12/1/20	December 1, 2020 BUG PowerPoint
12/1/20	December 1, 2020 BUG Meeting
12/1/20	ERD Training Video
12/1/20	State Accounting Updated Policies
5/7/20	May 28, 2020 BUG PowerPoint
5/7/20	Fiscal Year End (June 30, 2020) Closing Schedule
2/21/20	February 25, 2020 BUG PowerPoint Feedback Form
1/3/20	Mileage Reimbursement Rates 2020
12/11/19	Annual Notice for Commuting and Taxable Meals
10/15/19	Annual Budgetary Report for FY 2019
9/10/19	September 11, 2019 BUG Slides
6/12/19	May 23, 2019 Fiscal Year End BUG video
5/21/19	May 23, 2019 BUG PowerPoint
5/07/19	Fiscal Year End (June 30, 2019) Closing Schedule
3/21/19	March 27, 2019 BUG PowerPoint

Budget

Publications

COVID-19 Information

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 Grant Award Summary by Agency
Website

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

U.S. Department of Treasury - Coronavirus Relief Fund Information

Building

Construction Bids
State Building Plan Room Builders Bureau, Lincoln, NE Omaha Exchange Builders, Omaha, NE
Design
Design and Construction manual Project request form Space requirement worksheet Design standards examples
Leasing
External Leasing Manual Lease Requisition Form - Blank Facility Use Manual
Parking
Parking Manual Parking Application Vehicle Updates, Additional AVI Stickers, and Permits Parking Exit Form Bike Room Application Visitor Parking Request Form Handicapped Accessible Parking Request Parking Rates and Fees Tax Exemption Parking Plan Car Pool Registration Instructions on how to place AVI sticker List of Vehicles with Metallized Windshield List
Vacant BLDGS & Excess Land(VBEL)
VBEL Request Form VBEL Quarterly Meeting Agenda

Center of Operational Excellence

Employee Relations

Labor Contract Information
Labor Contracts 2021-2023 2021-2023 NAPE/AFSCME Labor Contract - PDF Summary of Changes for the State of Nebraska and NAPE-AFSCME 2021-2023 Labor Contract - PDF Consolidation Project Outline - PDF 2019-2021 2019-2021 NAPE/AFSCME Labor Contract - PDF Historical NAPE/AFSCME Labor Contracts Letters of Agreement NAPE COVID-19 Supplemental Leave Letter of Agreement - PDF June 10, 2019 - PDF June 18, 2019 - PDF October 29, 2019 - PDF COVID-19 Administrative Leave - PDF Labor Contract 2021-2023 2021-2023 FOP Labor Contract - PDF Summary of Changes for the State of Nebraska and FOP 2021-2023 Labor Contract - PDF 2019-2021 2019-2021 FOP Labor Contract - PDF Letters of Agreement July 1, 2019-PDF August 6, 2019-PDF January 6, 2020-PDF COVID-19 Administrative Leave-PDF Labor Contracts 2021-2023 2021-2023 SLEBC Labor Contract - PDF Summary of Changes for the State of Nebraska and SLEBC 2021-2023 Labor Contract - PDF 2019-2021 2019-2021 SLEBC (Law Enforcement) Labor Contract -PDF Historical SLEBC Labor Contracts Letters of Agreement SLEBC COVID-19 Supplemental Leave Letter of Agreement- PDF SLEBC Vacation Bidding Process Letter of Agreement - PDF March 13, 2020-PDF COVID-19 Administrative Leave-PDF Labor Contracts 2021-2023 2021-2023 SCATA Labor Contract - PDF Summary of Changes for the State of Nebraska and SCATA 2021-2023 Labor Contract - PDF 2019-2021 2019-2021 SCATA (Teachers) Labor Contract - PDF Historical SCATA Labor Contracts Letters of Agreement SCATA COVID-19 Supplemental Leave Letter of Agreement- PDF SCATA COVID-19 Administrative Leave - PDF Rules and Regulations Title 273. Classified Personnel Rule - PDF Title 273. Classified Personnel Rule - Searchable PDF Guidelines Telecommuting Guidelines - PDF Furlough Guide - PDF HR Implications-Natural Disasters - PDF NAPE Reduction In Force Packet - DOC FOP Reduction In Force Packet - DOC Re-Employment Program - PDF The Leader's Guide to Discipline - PDF NAPE/AFSCME Grievance Form - PDF Grievance Form - DOC Discovery Form - DOC FOP Grievance Form - PDF Grievance Form - DOC Classified Rules & SCATA Rules Grievance Form - PDF Step 3 Appeal Form - PDF State Law Enforcement State Law Enforcement Bargaining Council Grievance Form - PDF
Discipline & Grievance Information
NAPE/AFSCME FOP Classified Rules Information State Law Enforcement SCATA
Leave & Workplace Resources
Donation Form - PDF Leave Request Form - PDF Frequent Questions FMLA Information FMLA Request Form FMLA Employee Rights Insurance Coverage Form Certification of Health Care Provider for Employee's Serious Health Condition Form Certification of Health Care Provider for Family Member's Serious Health Condition Form Certification for Serious Injury or Illness of a Current Servicemember - for Military Family Leave Form Certification for Serious Injury of Illness of a Veteran for Military Caregiver Leave Form Certification of Qualifying Exigency for Military Family Leave Form The following forms are for HR Agency use only, and do not need to be filled out by employees requesting leave: Designation Notice Form Notice of Eligibility and Rights & Responsibilities Form Request Form for Maternity Leave Donation - PDF Maternity Leave Donation Memo and Maternity Leave Donation Form - PDF Maternity Leave Donation Program Overview - PDF
Training
PowerPoints and Handouts Leader's Guide to Discipline (pdf) Discipline Training (pdf) Discipline Road Map (PDF) FMLA Powerpoint (pptx) FMLA Road Map (PDF) Leave Training (PDF) ADA Amendments (ppt) 2019-2021 NAPE Contract Training(PDF) 2019-2021 FOP Contract Training (PDF)

Materiel

Vendor Information

Description	Last Revised	Available Format
Vendor Application	03/09/2018	Excel
Vendor Manual	12/14/2017	PDF

Surplus/Asset Management

Description	Last Revised	Available Format
Annual Fixed Asset/Annual Inventory Letter FY20/21	06/28/2021	PDF
Asset Management Manual	03/12/2021	PDF
Barcoding Manual	07/08/2020	PDF
SPN Form for Non-Fixed Asset	09/26/2018	PDF
SPN Form Instructions	09/26/2018	PDF
Agency Instructions for Surplus Property		PDF

Procurement Governmental Agency Information

Office Depot Contract Information

Description
Office Depot Account Application
On-Line Return Instructions
Return Authorization Form

Vehicle Information

Description
2022 Master Agreement Terms and Conditions
2022 MA Terms and Conditions Letter
2022 Completed Master Agreement Terms and Conditions
2022 Master Agreement Anderson Ford of Lincoln
2022 Master Agreement Baxter Chrysler Dodge Jeep Ram Fiat of Lincoln
2022 Master Agreement Gene Steffy Auto Group
Vehicle Cut Off Dates - 04/27/22

Moving and Installation Services Information

Description
Agency Instructions for Office Relocations
Moving and Installation Services Guide
Procurement Training Guide Generating PO Moving and Installation Services
Example Installation Services Quote Form
Example Moving Services Quote Form
Moving Services Quote Form

EnterpriseOne & Other General Information

Description		Last Revised	Available Format
Request to Increase Contract Quantity Form		03/28/2018	XLS
Approval Route Worksheet		09/18/2017	Word
Two-Way Match Policy		03/30/2006	PDF
National Institute of Governmental Purchasing (NIGP) Codes			XLS
Pre-Approved IT Items for Purchase (on OCIO website)		Click Here for more information
MMCAP Pharmaceutical Information		04/17/2017	PDF
Purchase Order Terms and Conditions		10/01/2020	PDF
Market Research Powerpoint		11/29/2016	PPT
Contract Location Report		07/02/2018	XLS
Contract Administration Plan (CAP)		12/08/2016	PDF
Manuals
Contract Manager Handbook		05/28/20	PDF
State of Nebraska Procurement Manual		09/14/2018	PDF
Proof of Need Analysis Information
Proof of Need Analysis Guide		02/27/20	Word
Proof of Need Analysis Template		02/27/20	Word
Proof of Need Analysis Checklist for Agencies		02/27/20	Word
Personal Services Guide
Personal Services Guide Template		07/14/2015	Word
Vendor Performance
Vendor Performance Program (VPP)	VPP Resource Page

Commodities/Goods Information

Description		Last Revised	Available Format
ITB Boilerplate Changes		07/01/2019	PDF
Specification Tutorial and Introduction to ITB Boilerplates Powerpoint		09/15/2015	PDF
Processing Timeline for Commodities/Goods		01/15/2014	PDF
Printing 101: Guidelines for a Successful Print Project		04/17/2017	PDF
ITB Boilerplate
1.	Invitation To Bid Boilerplate	07/01/2019	Word
Forms
1.	Solicitation Announcement Letter	04/01/2015	Word
2.	Pre-Bid Attendance Sheet	10/16/2014	Word
3.	Pre-Bid Conference Questions	10/01/2008	Word
4.	Addendum - Questions and Answers	09/23/2015	Word
5.	Addendum - Amendment to ITB	10/16/2014	Word
6.	Addendum - Change of Scope	10/16/2014	Word
7.	Addendum - Schedule of Events Change	10/16/2014	Word
8.	Addendum to Contract	07/21/2015	Word
9.	Amendment to Contract	07/21/2015	Word
10.	Rejection of Bids	10/01/2008	Word
11.	Request for Fax or Electronic Quote	08/25/2015	XLS
12.	Specification Comparison Tool	12/10/2013	XLS
13.	Non-CSI Justification Form (Non-CSI OW Requisition Example and Instruction)	08/25/2017 08/17/2017	PDF PDF
14.	Sole Source Justification for Commodities	12/19/2016	PDF
15.	Declaration Concerning Conflict of Interest and Confidential Information for Invitations to Bid	07/11/2014	PDF
Purchase Authority Information
1.	Annual Purchase Authority Letter	10/05/2021	PDF
Policies/Procedures
1.	Protest/Grievance Procedure	08/04/2021	PDF
2.	Preference Policies	10/01/2008	PDF

Services Information

Description		Last Revised	Available Format
Deviation Requests from Contractual Services & Emergency Contracts Process PowerPoint		07/01/2014	PDF
Boilerplate Changes		07/01/2019	PDF
Processing Timeline for Services		01/15/2014	PDF
Request for Information (RFI) Boilerplate
1.	Request for Information Boilerplate	09/25/2017	Word
Boilerplate
1.	Request for Proposal Boilerplate	07/01/2019	Word
Additional Forms
1.	Deviation from Contractual Services Contract Process Form	02/24/2015	Word
2.	Request for Proposal Check-Off List	08/06/2015	Word
3.	Solicitation Announcement Letter	07/22/2015	Word
4.	Public Notice Cover and Announcement - (Lincoln Journal Star/Beatrice Daily Sun Public Notice Form)	11/08/2018	Word
5.	Pre-Proposal Attendance Sheet	10/16/2014	Word
6.	Pre-Proposal Conference Questions	06/04/2014	Word
7.	Addendum - Questions and Answers	09/23/2015	Word
8.	Addendum - Addendum to RFP	10/16/2014	Word
9.	Addendum - Change of Scope	10/16/2014	Word
10.	Addendum - Schedule of Events Change	10/16/2014	Word
11.	Addendum to Contract	07/21/2015	Word
12.	Amendment to Contract	07/21/2015	Word
13.	Respondents List	10/16/2014	Word
14.	Intent to Award Letter	10/16/2014	Word
15.	Rejection of Proposals	10/16/2014	Word
16.	Mandatory Requirements Checklist	10/16/2014	XLS
17.	Request for Fax or Electronic Quote	08/25/2014	XLS
RFP Evaluation & Scoring
1.	RFP Evaluation & Scoring Manual for Services	01/26/2017	Word
2.	Declaration Concerning Conflict of Interest and Confidential Information	08/23/2017	PDF
3.	Evaluator Scoring Worksheet	10/16/2014	Word
4.	Criteria for Evaluation	07/30/2015	Word
5.	Cost Proposal Evaluation Worksheet	01/08/2013	XLS
6.	Reference Check Worksheet	10/01/2008	Word
7.	Final Evaluation Document	08/26/2014	XLS
8.	Final Evaluation Document for Cafeteria & Vending Services	02/27/2014	Word
9.	Oral Interview Letter - Version One	10/01/2008	Word
10.	Oral Interview Letter - Version Two	10/01/2008	Word
11.	Oral Interview Letter - Version Three	10/01/2008	Word
12.	Oral Interview Scoring Worksheet	10/01/2008	Word
13.	Final Evaluation Document with Oral Interviews	08/26/2014	XLS
14.	Final Evaluation Document with Oral Interview for Cafeteria & Vending Services	02/27/2014	Word
15.	Best and Final Offer (BAFO) Letter	09/12/2017	Word
16.	Final Evaluation Document with Best and Final Offer (BAFO)	08/26/2014	XLS
17.	Award Instructions Letter	02/26/2015	Word
Policies/Procedures
1.	Protest/Grievance Procedure	08/04/2021	PDF
2.	Preference Policies	10/01/2008	PDF

State Purchasing Bureau Records Request Form

Furniture Auction Flyer

Training - First Half

Training - Second Half

Mail Services Guide

Change of Address Form

Copy Center Requisition

Purchase Order/Vendor Information Reports

Description	Available Format
January 2022 - March 2022	PDF
October 2021 - December 2021	PDF
July 2021 - September 2021	PDF
April 2021 – June 2021	PDF
January 2021 - March 2021	PDF
October 2020 - December 2020	PDF
July 2020 - September 2020	PDF
April 2020 - June 2020	PDF
January 2020 - March 2020	PDF
October 2019 - December 2019	PDF
July 2019 - September 2019	PDF
April 2019 - June 2019	PDF
January 2019 - March 2019	PDF
October 2018 - December 2018	PDF
July 2018 - September 2018	PDF
April 2018 - June 2018	PDF
January 2018 - March 2018	PDF
October 2017 - December 2017	PDF
July 2017 - September 2017	PDF
April 2017 - June 2017	PDF
January 2017 - March 2017	PDF
October 2016 - December 2016	PDF
July 2016 - September 2016	PDF
April 2016 - June 2016	PDF
January 2016 - April 2016	PDF
2015	PDF
2014	XLSX
2013	XLSX
2012	XLSX
2011	XLSX

Government Procurement Act Report (§ 73-603)

Description	Available Format
09/01/2020	PDF
09/01/2019	PDF
09/01/2018	PDF
09/01/2017	PDF
08/30/2016	PDF
09/01/2015	PDF

Personnel

State Personnel Systems

Employee Work Center and Workday

Career Center

statejobs.nebraska.gov

Recruitment & Selection Center

Employee Development Center

PDF Donation Form for Catastrophic Illness Leave
PDF version | Word version

HR Guidance Documents - Agency Examples

(please note: the following are example documents you can incorporate into your HR Documentation)
FFCRA HR Checklist
April 10, 2020 | PDF

Memos

Teammate Update: Important COVID-19 Information
Feb 28, 2020 | PDF

Teammate Update: Governor Pete Ricketts Provides a Coronavirus Update to State Teammates
March 17, 2020 | PDF

Additional Resources

Teammate COVID-19 FAQs
UPDATED April 17, 2020 | PDF

Important COVID-19 Teammate Reminders
March 17, 2020 | PDF

Social Media Links

Department of Health and Human Services
Facebook
Twitter

Governor Pete Ricketts
Facebook
Twitter

CDC
Website
Facebook
Twitter

Department of Administrative Services
Website
Facebook

Classification & Compensation

Title 273, Classified Personnel Rules

Personnel Almanacs

Salary Surveys

Furlough Guide

Telecommuting Guidelines

PDQ - Position Description Questionnaire

Financial Responsibilities Questionnaire

Supervisory Questionnaire

Confidentiality Questionnaire

Rules - Delegated Advanced Hiring Rate

Rules - Delegated In-Grade Checklist

Training and Development

Teammate Engagement

Wellness & Benefits

Section	Title
1	Employee Assistance Program
2	Health & Prescriptions Plans
3	Dental
4	Vision
5	Flexible Spending Accounts
6	Health Savings Account
7	Life Insurance
8	Long & Short Term Disability

Real Appeal

COBRA

COBRA Rights Information PDF
COBRA Termination Form - PDF

Payroll Deduction Codes

Payroll Deduction Codes for the Employee Work Center - EXCEL

SOS Temporary Employee Benefits

Section	Title
1	Health & Prescriptions Plans
2	Dental
3	Flexible Spending Accounts (Dependent Care ONLY)
4	Health Savings Account
5	Long & Short Term Disability

COBRA

COBRA Rights Information PDF
COBRA Termination Form - PDF

Payroll Deduction Codes

Payroll Deduction Codes for the Employee Work Center - EXCEL

COBRA

The State of Nebraska offers the following benefits for Cobra and Retirees.

Click here to review the COBRA section of the 2020-21 Options Guide - PDF.

Resources

COBRA

COBRA Rights Information PDF
COBRA Termination Form PDF

2020-21 Plan Year

2019-20 Plan Year

Real Appeal

Open Enrollment Information

UnitedHealthcare (UHC) Medical and Pharmacy (Handout)
Strada (Direct Primary Care) ) (Handout)
Public Employees Retirement System - Deferred Compensation Plan (Handout)
Deer Oaks - Employee Assistance Program (EAP) (Handout)
Ameritas - Dental Plan (Handout)
EyeMed - Vision Plan (Handout)
UHC - Short-Term Disability/Long-Term Disability (Handout)
ASI/Flex - Flexible Spending Accounts (Handout) (FSA Video) (Dependent Care FSA Video)
The Hartford - Life Insurance (Handout)

Pay Plan

Job Code changes, effective October, 2011

Quarterly Pay Plan Changes

Q1 January - March, 2020

Previous Classification & Pay Plans

Employees covered by Bargaining Units, visit the Bargaining Unit Pay Plans page.

To view previous pay plans, visit the State Government Publications ONLINE at the Nebraska Library Commission

Temporary Employment Program (SOS)

Risk Management

309 Task Force

Transportation Services Bureau

Form J is 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. Form J instructions may be accessed here. Completion of Form J does not guarantee an upgrade and/or change in vehicle type.

Form S is to be completed and returned to TSB when your agency anticipates the need for additional vehicles on a temporary basis. Requests for seasonal or summer use vehicles will be reviewed and approved based on existing fleet availability. New vehicles will not be purchased solely to fill seasonal or summer requests.

Transportation Requests are 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 Authorization on file with TSB.

Universal Travel Authorizations may be utilized by your agency in lieu of the Transportation Request form.

Official TSB Travel Logs are to be completed per Statute 81-1025.

If you are unable to access or open the forms, please contact (402) 471-2897 or (402) 471-2898 for assistance.

DAS Forms & Documents

Directors Office

Accounting

Employer

Employee