State of Nebraska Line of Duty Compensation Act Claim Form - Nebraska

State of Nebraska Line of Duty Compensation Act Claim Form is a legal document that was released by the Nebraska Department of Administrative Services - a government authority operating within Nebraska.

Form Details:

• Released on June 1, 2022;
• The latest edition currently provided by the Nebraska Department of Administrative Services;
• Ready to use and print;
• Easy to customize;
• Compatible with most PDF-viewing applications;
• Fill out the form in our online filing application.

Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the Nebraska Department of Administrative Services.