Department of Personnel

Recruitment/Examination/ Employment	Disciplinary Action
Classification	Separations from Service
Compensation	Hearings Before the Hearing Officer
Performance Reports	Use of Alcohol or Drugs
Attendance and Leave	Payroll/Records
Sexual Harassment/ Discrimination	Military Leave Forms
Grievance Procedure	Employee Forms

Form Title	MS Word®	Adobe® pdf
RECRUITMENT/EXAMINATION/EMPLOYMENT
Employment Application - NEW SYSTEM	NV APPS - Nevada Applicant Processing & Placement System
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
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
COMPENSATION
Request to Accelerate Salary	NPD-4	NPD-4
Request for Temporary Adjustment to Salary	NPD-5	NPD-5
TS-25 Election of Compensatory Time	TS-25	TS-25
TS-78 Request for Variable Workday Schedule	TS-78	TS-78
TS-78A Request for Variable 80-hour Work Schedule	TS-78A	TS-78A
PERFORMANCE REPORTS
NPD-14 Work Performance Standards	NPD-14 WPS Form NPD-14 Template More Job Elements Developing WPS Transition Instructions Computer Instructions	NPD-14 More Job Elements Developing WPS Trans Instr. Computer Instructions
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
ATTENDANCE AND LEAVE
NPD-25 Notice of Intent to Donate Leave	NPD-25	NPD-25
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
WH-380-E FMLA Medical Certification for Employee	--	WH-380-E
WH-380-F FMLA Medical Certification for Family Member	--	WH-380-F
WH-384 Certification for Military Exigency	--	WH-384
WH-385 Medical Certification for Servicemember	--	WH-385
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	PAY-23C	PAY-23C
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
NPD-31 Intake Report of Harassment or Discrimination	NPD-31	NPD-31
GRIEVANCE PROCEDURE - Please use electronic grievance filing system linked via the NEATS homepage. For information on how to file a grievance click on Incident Tracking Instructions located under Reference Information & Links.
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
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	NPD-45	NPD-45
Layoff Notice/Re-Employment Placement Forms	FS-LO Forms	FS-LO-Forms
HEARINGS BEFORE THE HEARING OFFICER
NPD-53 Whistle Blower	NPD-53	NPD-53
NPD-54 Formal Appeal Form	NPD-54	NPD-54
USE OF ALCOHOL OR DRUGS
TS-58 Policy Statement - Alcohol/Drug Free Workplace and Acknowledgment	TS-58	TS-58
TS-77 Report form for Suspected Alcohol/Drug Impairment	TS-77	TS-77
TS-76 Alcohol/Drug Consent Form	TS-76	TS-76
TS-69 Employee Breath Test for Alcohol	TS-69	TS-69
NPD-79 Non-DOT Breath Alcohol Test Request	NPD-79	NPD-79
PAYROLL/RECORDS
CPER/PPER Weekly Time Sheet	CPER/PPER
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
LEAV Leave Accrual Adjusting Form	LEAV (Excel)	LEAV
PAY-07 Authorization for Payroll Check Pick-up	PAY-07	PAY-07
Cancellation of Deduction		CoD
Labor Distribution Profile		LDPR
PSMT - Position Status Maintenance		PSMT
W-4 (IRS) Employee's Withholding Allowance Certificate		W-4
W-5 (IRS) Earned Income Credit Advance Payment		W-5
Payroll Overpayment	PAYOP-1
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
Direct Deposit-No Print Exemption Form		Direct Deposit-No Print memo and Exemption form
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 Review Board	MAB	MAB

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Last Updated: 11/17/09 02:35:16 PM
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