lincoln.ne.gov
City of Lincoln
Personnel Department
Risk Management Division
Long Term Disability
All are in pdf format
Long Term Disability Forms
Long Term Disability Authorization for Disclosure of Health Information
620K
Long Term Disability Physician's Disability Report
440K
Long Term Disability Statement (To be completed by employee
492K
Long Term Disability Statement (To be completed by employer
227K
Long Term Disability Plan (City of Lincoln)
6236K
Personnel Homepage
Risk Management
Personnel Homepage
Risk Management