Line of Duty Compensation Act Beneficiary Designation Form - Nebraska

Line of Duty Compensation Act Beneficiary Designation Form - Nebraska

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

FAQ

Q: What is the Line of Duty Compensation Act?
A: The Line of Duty Compensation Act provides financial assistance to the families of Nebraska first responders who die in the line of duty.

Q: What is the beneficiary designation form?
A: The beneficiary designation form is a document that allows first responders to designate who will receive the compensation if they die in the line of duty.

Q: Who is eligible to fill out the beneficiary designation form?
A: Nebraska first responders, such as police officers, firefighters, and emergency medical personnel, are eligible to fill out the form.

Q: Is the Line of Duty Compensation Act only applicable in Nebraska?
A: Yes, the Line of Duty Compensation Act is specific to Nebraska and applies to first responders in the state.

Q: What happens if a Nebraska first responder dies in the line of duty without filling out the beneficiary designation form?
A: If a first responder dies without filling out the form, the compensation will be distributed according to Nebraska law, which prioritizes certain family members.

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Form Details:

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

Download Line of Duty Compensation Act Beneficiary Designation Form - Nebraska

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