Forms
If your position is covered by a Union, please review your Collective Bargaining Agreement for specifics.
- Employment Forms
- Department Head Forms
- Insurance & Safety Forms
- Leave Forms
- Education, Miscellaneous, Change in Personal Information Forms
- Appeal Form - Classified Employee
- Employee Action Form New Hire (For New Hire Employee / Wages / Budget / Positions / etc.)
- Employee Action Form Changes (For Existing Employee / Wage Changes / Budget Changes / Position Changes / Separations)
- Exit Interview Questionnaire
- Grievance Form - Classified Employee
- Letter of Resignation Form
- Notice of Retirement Form
- Alternative Worksite Agreement Form
- Secondary Employment Request Form - Classified Employee
- Separation of Service Packet (Revised January 2021)
- Discipline Form Classified and Unclassified 2022 (PDF)
- Employee Action Form New Hire (For New Hire Employee / Wages / Budget / Positions / etc.)
- Employee Action Form Changes (For Existing Employee / Wage Changes / Budget Changes / Position Changes / Separations)
- Manager's Drug and Alcohol Checklist (PDF)
- New Job Creation Request Form (PDF)
- Performance Evaluation Form - Annual (PDF) (Revised October 2018)
- Performance Evaluation Form - Introductory/Probationary (PDF)
- Personnel Requisition Form - Classified Position (PDF) (Revised November 2020)
- Personnel Requisition Form - Unclassified (PDF) (Revised November 2020)
- Commercial Driver's License (CDL) Notification of Traffic Violation (PDF)
- CDL Operator's Guide (NIRMA) (PDF)
- Employee Insurance: Change Request Form (PDF)
- Incident/Accident Investigation Checklist (PDF)
- Liability Form: Contact your department for specifics
- Personal Vehicle Use Waiver Form (PDF)
- Supervisor's Report (PDF)
- Workers' Compensation: Employee Packet (PDF) - Forms must be completed and sent to Human Resources for filing.
- Catastrophic Illness Donation Request (PDF) (Revised February 2018)
- FMLA Application Request Form (PDF)
- Funeral/Bereavement Leave (PDF) (Revised September 2018)
- HIPAA Release Form (PDF)
- Military Leave Request Form (PDF)
- Change in Personal Information Form (PDF) (Electronic Email Submission)
- Educational Reimbursement Application Form - Classified Employee (PDF)
- Educational Reimbursement Application Form - Unclassified Employee (PDF)
- Attorney
- Bailiff
- Department Head/Principal Assistant
- Elected Official/Chief
- Emergency Management
- Sworn Officer
- Fraternal Order of Police Sworn - Advanced Educational Incentive Request Form (PDF)
- General Employee Complaint Form - Contact HR
- Key Card Request Form - Contact HR
- University of Nebraska Omaha - Certified Public Manager Application (PDF)
- Whistleblower Form - Contact HR
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Mary Davis
Human Resources DirectorPhone: 402-593-4478
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Kerri Plummer-Gelecki
Assistant Director of Human ResourcesPhone: 402-593-4485
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Kristine Vickery
Human Resources CoordinatorPhone: 402-593-4486
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Kymberly Zomermaand
Human Resources CoordinatorPhone: 402-593-4487
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Victoria Benes
Human Resources CoordinatorPhone: 402-593-4465
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Human Resources
Physical Address
1210 Golden Gate Drive
Papillion, NE 68046-2845
Phone: 402-593-4486Fax: 402-593-5781
Hours
Monday through Friday
8 am to 4:45 pm