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Form
Title |
MS WordŽ |
AdobeŽ
pdf |
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RECRUITMENT/EXAMINATION/EMPLOYMENT
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Employment Application - NEW SYSTEM |
NV APPS - Nevada Applicant Processing &
Placement System |
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NPD-3
Personnel Requisition |
NPD-3 |
NPD-3 |
|
ADA-1
Essential Functions Development |
ADA-1 |
ADA-1* |
|
ADA-3
Essential Functions |
ADA-3 |
ADA-3 |
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NPD-86
Medical Inquiry in Response to Accommodation Request |
NPD-86 |
-- |
|
NPD-87 Accommodation
-Agency Response |
NPD-87 |
NPD-87 |
|
CLASSIFICATION |
NPD-19s Position
Questionnaire
(Short Form) |
NPD-19s |
NPD-19s |
|
NPD-19s (Short
Form) Classes |
|
NPD-19SFC |
|
NPD-19
Position Questionnaire |
NPD-19 |
NPD-19 |
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COMPENSATION |
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Request to
Accelerate Salary |
NPD-4 |
NPD-4 |
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Request for Accelerated Steps
- Equitable Relationships |
NPD-4A (Excel) |
NPD-4A |
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Request for Accelerated Steps - New Hires |
NPD-4B (Excel) |
NPD-4B |
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Request for
Temporary Adjustment to Salary |
NPD-5 |
|
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TS-25
Election of Compensatory Time |
TS-25 |
TS-25 |
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TS-78
Request for Variable Workday Schedule |
TS-78 |
TS-78 |
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TS-78A
Request for Variable 80-hour Work Schedule |
TS-78A |
TS-78A |
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PERFORMANCE
REPORTS |
|
NPD-14
Work Performance Standards |
NPD-14 WPS Form
More Job Elements
Developing WPS
|
NPD-14
More Job Elements
Developing WPS
|
|
NPD-15 Employee
Appraisal & Development |
NPD-15
Form Instructions
More Job Elements
Guidelines |
NPD-15
Form Instructions
More Job Elements
Guidelines |
|
NPD-15R
Employee Appraisal Response to Request for
Review |
NPD-15R
|
NPD-15R |
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ATTENDANCE
AND LEAVE |
|
NPD-25
Notice of Intent to Donate Leave |
NPD-25 |
NPD-25 |
|
NPD-82
Sick Leave Documentation- GINA Warning |
NPD-82 |
NPD-82 |
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NPD-60 FMLA Leave Form |
NPD-60 |
NPD-60 |
|
NPD-62 FMLA
Eligibility Form |
NPD-62 |
NPD-62 |
|
NPD-63 FMLA
Designation Form |
NPD-63 |
NPD-63 |
|
NPD-81
FMLA Medical Release |
NPD-81 |
NPD-81 |
|
NPD-83
FMLA Medical Certification for Employee |
NPD-83 |
NPD-83 |
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WH-380-F FMLA Medical Certification for Family Member |
-- |
WH-380-F |
|
WH-384 FMLA Certification
of Qualifying Exigency for Military Family
Leave |
|
WH-384 |
|
WH-385V FMLA Certification
for Serious Injury or Illness of a Veteran
for Military Caregiver Leave |
|
WH-385
V |
|
WH-385 FMLA Certification
for Serious Injury or Illness of a Current
Service Member for Military Family Leave |
|
WH-385
|
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Request
to Use Catastrophic Leave |
PAY-23 |
PAY-23 |
|
Notification
of Agency's Payroll Center (Regarding a
Request to Use Catastrophic Leave) |
PAY-23A |
PAY-23A |
|
Formal
Appeal Catastrophic Leave Appeals
Committee |
PAY-23B |
PAY-23B |
|
Physician's
Certification for Catastrophic Leave
Request - Employee |
PAY-23CE |
PAY-23CE
|
|
Physician's
Certification for Catastrophic Leave
Request - Immediate Family Member |
PAY-23CF |
PAY-23CF
|
|
TS-12
Voluntary Leave Without Pay Authorized
Pursuant to NAC |
TS-12 |
TS-12 |
|
TS-133
Shift Trade Agreement |
TS-133 |
TS-133 |
|
SEXUAL HARASSMENT/DISCRIMINATION |
|
NPD-30
Sexual Harassment or Discrimination Complaint
Form |
NPD-30 |
NPD-30 |
|
GRIEVANCE
PROCEDURE -
Please use electronic
grievance filing system linked via the
NEATS homepage. For
information on how to file a grievance click on
Understanding the Grievance Process located on
the Publications menu. |
|
NPD-50
Formal Grievance |
NPD-50 |
NPD-50 |
|
NPD-51
Response to Formal Grievance |
NPD-51 |
NPD-51 |
|
Agreement to Extend Grievance Filing Periods |
TS-145 |
TS-145 |
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DISCIPLINARY
ACTION |
|
NPD-32
Notice of Employee Rights During an Internal Investigation |
NPD-32 |
NPD-32 |
|
NPD-52
Written Reprimand |
NPD-52 |
NPD-52 |
|
NPD-41
Specificity of Charges |
NPD-41 |
NPD-41 |
|
SEPARATIONS
FROM SERVICE |
|
NPD-42
Recommendation of Separation Pursuant to
NAC 284.611 |
NPD-42 |
NPD-42 |
|
NPD-45
Resignation from State Service or Notice of
Transfer |
NPD-45 |
NPD-45 |
|
Layoff
Notice/Re-Employment Placement Forms |
FS-LO Forms |
FS-LO-Forms |
|
Employee Exit
Interview Survey Memo |
-- |
Exit Survey Memo |
|
Employee Exit
Interview Survey Paper Version |
-- |
Exit Survey |
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HEARINGS
BEFORE THE HEARING OFFICER |
|
NPD-53
Whistle Blower |
NPD-53 |
NPD-53 |
|
NPD-54 Formal
Appeal Form |
NPD-54 |
NPD-54 |
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USE
OF ALCOHOL OR DRUGS |
|
TS-58
Policy Statement - Alcohol/Drug Free
Workplace and Acknowledgment |
TS-58 |
TS-58 |
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TS-77
Report form for Suspected Alcohol/Drug
Impairment |
TS-77 |
TS-77 |
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TS-76
Alcohol/Drug Consent Form |
TS-76 |
TS-76 |
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TS-69
Employee Breath Test for Alcohol |
TS-69 |
TS-69 |
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NPD-79 Non-DOT
Breath Alcohol Test Request |
NPD-79 |
NPD-79 |
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PAYROLL/RECORDS |
|
0-752 Special Pay/Time Adjustment Sheet |
0-752 |
0-752 |
|
Special
Pay/Time Adjustment Worksheet
(Supplemental) |
Supplemental/Retro
Supplemental/WC Buyback (Excel)
|
Supplemental/Retro
Supplemental/WC
|
|
Calculation of Comp Time Payout for
Terminating Employees |
Calculation of Comp Time Payout for Terminating Employees (Excel)
|
-- |
|
LEAV
Leave Accrual Adjusting Form |
LEAV (Excel) |
LEAV |
|
Signature Authorization Form - Payroll |
|
CPSA |
|
Signature Authorization Form -
Records |
CRSA |
CRSA |
|
PAY-07
Authorization for Payroll Check Pick-up |
PAY-07 |
|
|
Authorization for Records Pick-up |
RPU |
|
|
Cancellation
of Deduction |
-- |
CoD |
|
Labor
Distribution Profile |
LDPR (EXCEL) |
LDPR |
|
PSMT
- Position Status Maintenance |
PSMT (EXCEL) |
PSMT |
|
W-4
(IRS) Employee's Withholding Allowance
Certificate |
-- |
W-4 |
|
Deferred Compensation Program
Payroll Deduction Form |
-- |
DCP Payroll Deduction Form |
|
FICA Alternative Enrollment Form |
-- |
FICA Alternative Enroll Form |
|
Payroll
Overpayment |
PAYOP-1 |
-- |
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Default on Agreement
to Repay Payroll Overpayment |
PAYOP-2 |
-- |
|
Referral of Payroll Overpayment for
Collection |
PAYOP-3 |
PAYOP-03 |
|
Request to Use Annual Leave to Repay A
Payroll Overpayment or Antiweek Liability |
PAYOP-4 |
-- |
|
Employment
Eligibility Verification Form |
-- |
I-9 |
|
Agency Hand Type Request Form |
-- |
Hand Type Request Form |
|
Quarterly Catastrophic Leave Summary |
Quarterly CAT Leave
(Excel) |
-- |
|
MILITARY
LEAVE FORMS |
|
State
of Nevada Differential Pay for Active
Military Duty ML-1, ML-2, ML-3 |
ML-1-3 |
ML-1-3 |
|
Calculation Of Military
Differential Pay And Civil Leave Hours |
ML-4 |
ML-4 |
|
EMPLOYEE FORMS |
|
|
|
Merit
Award Board |
MAB |
MAB |
AGENCY HR SERVICES FORMS
(For designated
agencies: Administration, Taxation, Business & Industry, Agriculture, Education, Governor's
Office, Energy Office, Nuclear Projects, Ethics Commission, Deferred Compensation,
Tourism, Cultural Affairs) |
|
|
|
Contact List |
-- |
AHRS |
|
Frequently Asked
Questions (FAQ) |
-- |
FAQs |
|
Request
to Fill a Position (RTF) - Appoint a
Candidate |
RTF |
|
|
RTF
Instructions |
RTF-Instructions |
-- |
|
Hiring Process Regret Letter |
Regret Letter |
-- |
|
Supervisor's Guide to Prohibitions and Penalties |
-- |
SGP&P |
|
Employment
Verification/Reference Check |
EVRC |
|
|
Hiring Process
Offer Letter |
Offer Letter |
|
|
NPD-45
Resignation from State Service or Notice of
Transfer |
NPD-45 |
|
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Termination-Transfer Checklist |
TTC |
|