Nebraska Department of Transportation Temporary Employment Authorization

The following information must be completed in full prior to hiring temporary employees.

Per the Rules and Regulations, Chapter 4, 006.03, Temporary employment may be full-time or part-time. Temporary employees shall not be hired on a full/part-time continuous basis to exceed one year (2,080 hours).

Temporary employees must be assigned at least a six-month, 20-hour per week assignment to be eligible for insurance benefits. Benefits will be pro-rated based on hours worked. Benefits will be effective the beginning of the month following 30 days of employment.

► Required fields

► 1.	Name:
2.	O.E. – Position No.:	► Location:
3.	Class Code:
► 4.	Position Title:
► 5.	Hiring Supervisor:
► 6.	New Hire	Rehire	Hourly Salary:
► 7.	Full-Time (40 hours)	Part-Time (hrs. per week):	Snow plow only
► 8.	Length of Service:	< 6 mos. > 6 mos.	►	Student:	Yes	No
► a.	Start Date:	School:
► b.	Start Time:	Degree:
► c.	End Date:	Graduation Date:
or 2080 hrs.
Human Resources:

OneSource completed for new hire	CDL:	Yes	No
Eligible for insurance benefits?	Yes	No

Notes: