Phone: (531) 299-0308
Main Fax: (531) 299-0409
FMLA Fax: (531) 299-0402
Certificates of Insurance
Bereavement, Jury/Witness/Election Duty
The Omaha Public Schools are self-insured for workers’ compensation and have been approved by the NE Workers’ Compensation Court to utilize Certified Managed Care for workers’ compensation medical treatment. If an employee needs treatment for a work-related injury they should contact Ohara Managed Care before seeking non-emergency medical treatment (1-888-354-1015, option # 1). It is important that employees treat with an in-network provider. Omaha Public Schools will not pay for unauthorized medical treatment or medical expenses incurred outside the managed care plan unless your doctor agrees to the managed care plan guidelines or the treatment is an emergency or life-threatening.
Employee Job Related Accident Report
Verification Of Medical Appointment Form
Nebraska Workers’ Compensation Court
Rights & Obligations Under The Nebraska Workers’ Compensation Law
Choice Of Doctor – Form 50
Spanish Versions (Version En Español):
Derechos y Obligaciones Bajo la Ley De Compensatión Para Trabajadores de Nebraska
Forma de Seleccion o Cambio de Doctor Por el Empleado – Forma 50
Insurance management oversees the District's business insurance which includes, property, casualty, general liability, crime, cyber, and fiduciary policies. If you need to request a Certificate of Insurance, please contact our main line at 531-299-0308.
District Property Claim Form
Employee Personal Property Claim Form
Student/Visitor Accident Form
Leave Management oversees leaves for, Family and Medical Leave Act (FMLA), Bereavement Leave, Personal Leave, Military Leave, Jury Duty, Witness Duty, and Election Duty. Professional Leave is reviewed and approved by the Chief Human Resources Officer please contact the main Human Resources line for additional questions (531-299-0240).
Application for FMLA Leave – Employees who are requesting leave must complete this form and return it via email (email@example.com), fax (531-299-0402), or inter-office mail.
Medical Certification of Health Care Provider Form
Employee – must be completed by the employee’s physician.
Family Member - must be completed by family members physician
Return to Work - FMLA – must be completed by employee’s physician and returned it via email (firstname.lastname@example.org), fax (531-299-0402), or inter-office mail.
Certification for Care of Current Service Member’s Serious Injury or Illness
Certification for Care of Veteran Serious Injury or Illness
Qualified Exigency for Military Family Leave
Employee's Guide to the Family and Medical Leave Act
Bereavement Leave will be administered according to Omaha Public School District Policy except in the case that an employee’s division negotiated agreement indicates otherwise.
According to the Omaha Public Schools policy 4007, in the event of a death in a regular, full-time employee's immediate family, (defined as mother, father, brother, sister, spouse, child, aunt, uncle, niece, nephew, cousin, grandparents, grandparents in-law, grandchild, mother-in-law, father-in-law, brother-in-law, sister-in-law, stepparents, stepchildren, stepsiblings, great grandparents, great grandparents in-law, great grandchildren and any other individual who is a permanent resident in the employee's home).
OPS may grant and excuse employees for up to four paid days for bereavement leave. Employees who are required to travel a minimum of 200 miles one way to attend services related to the death of an immediate relative may be granted an additional day of leave. Bereavement leave is limited to making arrangements for or attending services related to the death. The period of time allowed off work will be at the discretion of supervisory personnel in consultation with the Human Resources Department, and will vary with each individual's circumstances. OPS will not grant bereavement pay when the Employee does not attend the services related to the death. OPS will NOT count the excused bereavement pay as time worked for purposes of computing overtime. For payroll purposes, the Employee must submit documentation (e.g. service program or obituary) to the Human Resources Department as soon as practicable.
For more information about Bereavement Leave for your negotiated agreement, please CLICK HERE.
Bereavement Leave Request
Each full-time employee who works 30 or more hours per week shall be granted two personal days per year (one day per semester for first year employees). Requests for Personal Leave must be approved by the principal or the employee’s immediate supervisor. Approval will be subject to OPS and department scheduling requirements and needs. Personal Leave cannot be utilized during the first five student contact days, the last ten contracted days, or on days immediately preceding or following an OPS observed holiday. Each school year that an employee has unused personal leave days, the employee shall be awarded one additional day of accumulated sick leave, subject to limitations on maximum accumulation. Any such additional accumulation is recorded separate from the maximum accumulation.
Under NE Revised Statute 55-160, employees are allowed up to 15 paid days of military leave each calendar year and time beyond the 15 days will be unpaid job protected leave. You will need to send Leave Management a copy of your official orders via email (email@example.com), fax (531-299-0402), or inter-office mail.
OPS will grant employees time off for mandatory jury/election duty, and will pay the difference between the jury/election pay and your regular straight-time hourly rate for the time lost from the regularly scheduled work time. Employees who are called for jury duty or election duty are required to remit to OPS any compensation (other than expenses) received for the hours the employee was excused from duty. If such compensation is not remitted to the Accounts Receivable Department, an identical amount will be deducted from the employee’s salary.
During the jury duty period, the employee must report to work any days that he/she is not required to appear. The employee must also return to work if released from jury duty during their regular working hours.
Please contact Compensation & Benefits at 531-299-0224 to determine the amount of compensation you must remit to the School District. You are allowed reimbursement for parking but there is no meal allowance. Upon completion of your repayment to the School District, the information will be included in your file as a record of your public service.
Employees who are called as a witness for District related matters are required to remit to the Douglas County School District 001 any compensation received for the time the employee was excused from duty.
If such compensation is not remitted, an identical amount will be deducted from the employee’s salary.
Religious Holiday Leave
Employees who desire to observe a religious holiday occurring during the school year are required to use available personal or other eligible leave. Employees who have exhausted personal or other eligible leave may be granted time off without pay to observe a religious holiday, provided such leave does not pose an undue hardship on the District. Employees who have exhausted their personal or other eligible leave to observe a religious holiday may request unpaid leave to attend to personal matters that cannot be resolved at any time other than during the school day. Please work with your supervisor for any religious holiday absences.