Nevada Department of Administration Forms

This Form is used for employers in Nevada to provide wage verification information.

This form is used for requesting catastrophic leave in Nevada. The physician's certification is required to support the leave request.

This form is used for physicians to certify catastrophic leave requests for immediate family members in Nevada.

This form is used for notifying the state of Nevada about a transfer or resignation of a professional license or certification.

This form is used for releasing medical information under the Family and Medical Leave Act (FMLA) in Nevada.

This document is used for certifying the health care provider for an employee under the Family and Medical Leave Act (FMLA) in the state of Nevada.

This form is used for documenting sick leave for employees, specifically for Gina Warning in Nevada. It is for keeping track of absences and providing necessary documentation for sick leave purposes.

This Form is used for employees in Nevada to request to receive donations of catastrophic leave from fellow employees.

This form is used for requesting a leave of absence under the Family and Medical Leave Act (FMLA) in the state of Nevada.

This form is used for notifying the agency's payroll center in Nevada about a request to use catastrophic leave.

This Form is used for Nevada state employees who wish to notify their employer of their intent to donate leave to another employee in need.

This Form is used for submitting a formal appeal to the Committee on Catastrophic Leave in Nevada.

This form is used for employees in Nevada who want to take a voluntary leave of absence without pay.

This Form is used for calculating Military Differential Pay and Civil Leave Hours in Nevada.

This document is used for recording a shift trade agreement in the state of Nevada.

This form is used for issuing a written reprimand to an employee in the state of Nevada. It is a disciplinary action taken by the employer and serves as documentation of the employee's performance or conduct issues.

This form is used to specify the charges in a legal case in the state of Nevada.

This Form is used for employee appraisal and development reports in Nevada.

This Form is used for establishing work performance standards for employees in Nevada. It ensures that employees understand and meet the expected performance levels required for their job responsibilities.

This form is used for requesting accelerated steps in equitable relationships in Nevada.

This form is used for requesting accelerated steps for new hires in Nevada.

This Form is used for adding an additional insured person or organization in Nevada.

This Form is used for recommending the separation of an individual in accordance with Nevada Administrative Code 284.611.

This Form is used for notifying employees of job layoffs and providing assistance with finding re-employment opportunities in the state of Nevada.

This Form is used for employers in Nevada to report industrial injuries or occupational diseases.

This type of document is used for requesting funding for special equipment in the Risk Management Division in Nevada.

This document outlines the responsibilities and information for employees participating in the Early Return to Work Program in Nevada. It provides details on what employees need to do when returning to work early and includes important information related to their role in the program.

This document is used for conducting a checklist for supervisors in Nevada to ensure compliance with workers' compensation regulations.

This form is used for workers in Nevada who need to indicate their choice of leave for workers' compensation purposes.

This document is for employees in Nevada who are recovering from an injury or illness and need a temporary modified-duty assignment.

This Form is used for reporting and investigating accidents, injuries, and incidents in the workplace in Nevada. It helps supervisors gather necessary information to determine the cause and prevent similar incidents in the future.

This document is an application form for individuals who are interested in volunteering or becoming a board member in Nevada.

This Form is used for responding to a formal grievance in the state of Nevada. It is a standard document that allows individuals or organizations to provide their response and provide any necessary information or documentation related to the grievance.

This form is used for authorizing signatures on records in the state of Nevada. It allows individuals or organizations to designate specific individuals who are authorized to sign official documents on their behalf.

This Form is used for submitting special pay or time adjustment requests in Nevada.

This document is used for retroactively adjusting salary and time for employees in Nevada. It helps ensure accurate and fair compensation for past periods.

This document provides a labor distribution profile specifically for the state of Nevada. It outlines the allocation of labor costs for various departments or projects within an organization operating in Nevada.