Form PAY-23CF Physician's Certification for Catastrophic Leave Request - Immediate Family Member - Nevada

Form PAY-23CF Physician's Certification for Catastrophic Leave Request - Immediate Family Member - Nevada

What Is Form PAY-23CF?

This is a legal form that was released by the Nevada Department of Administration - a government authority operating within Nevada. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is PAY-23CF?
A: PAY-23CF is the form for Physician's Certification for Catastrophic Leave Request - Immediate Family Member in Nevada.

Q: Who can request catastrophic leave?
A: Catastrophic leave can be requested by employees in Nevada for the care of an immediate family member with a serious health condition.

Q: What is the purpose of the form?
A: The form is used to certify the need for catastrophic leave and provide medical information about the immediate family member.

Q: What information is required on the form?
A: The form requires information about the employee, the immediate family member, their medical condition, and the expected duration of the leave.

Q: Do I need a physician's certification?
A: Yes, a physician's certification is required to verify the serious health condition of the immediate family member.

Q: Can I use paid leave for catastrophic leave?
A: Yes, employees may use accrued paid leave, such as sick leave or vacation time, during a catastrophic leave.

Q: What is an immediate family member?
A: An immediate family member typically includes a spouse, child, or parent, but the specific definition may vary.

Q: How long can a catastrophic leave last?
A: The duration of a catastrophic leave can vary depending on the specific circumstances, but it is typically limited to a certain number of days per year.

Q: Can I be denied catastrophic leave?
A: Catastrophic leave may be denied if the employee fails to provide the required documentation or if their request does not meet the eligibility criteria.

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Form Details:

  • Released on January 1, 2016;
  • The latest edition provided by the Nevada Department of Administration;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form PAY-23CF by clicking the link below or browse more documents and templates provided by the Nevada Department of Administration.

Download Form PAY-23CF Physician's Certification for Catastrophic Leave Request - Immediate Family Member - Nevada

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  • Form PAY-23CF Physicians Certification for Catastrophic Leave Request - Immediate Family Member - Nevada, Page 1
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