Nevada Department of Administration Forms

This form is used for certifying a health care provider for an employee's serious health condition under the Family Medical Leave Act (FMLA) in Nevada.

This form is used for requesting a variable workday schedule in the state of Nevada.

This form is used for specifying charges in Nevada labor cases. It provides a detailed description of the specific charges brought against an employee, which can be filed with the appropriate authorities.

This form is used for filing a formal grievance in the state of Nevada. It is intended for employees who believe they have been treated unfairly by their employer and wish to seek resolution through a formal process.

This Form is used for informing employees about their rights during internal investigations in the state of Nevada. It ensures that employees are aware of their rights and protections during the investigation process.

This form is used for adjusting leave accrual in the state of Nevada. It allows employees to make changes to their leave balance.

This form is used for obtaining authorization signatures for Central Payroll in Nevada.

This Form is used for signature authorization for records in Nevada.

This document is used for submitting suggestions or ideas to improve the workplace environment in Nevada.

This document is a worksheet for calculating military differential pay and civil leave hours in Nevada. It is used to determine the compensation and leave entitlements for military personnel serving in the state.

This form is used for workers compensation buyback in Nevada. It is used to calculate special pay and time adjustment for workers compensation claims.

This document is used for recording special pay or time adjustments in the state of Nevada. It helps track any additional payments or adjustments made to an employee's regular wages.

This form is used for authorizing the central payroll check and documentation pick-up in Nevada.

This document is used for making a public records request in the state of Nevada. It allows individuals to request access to government records and information that is not readily available to the public.

This Form is used for requesting telecommuting and agreeing on terms in Nevada.

This document acknowledges the policy regarding sex- or gender-based harassment and discrimination in Nevada. It ensures that individuals are aware of and understand the policy in place to prevent such misconduct.

This form is used for union members in Nevada to request leave for business purposes related to their union activities.

This Form is used for creating a succession plan for businesses based in Nevada. It helps businesses outline the process of transitioning leadership to ensure continuity.

This form is used for acknowledging and accepting the policies and procedures of the Department of Administration in Nevada.

This document is used in Nevada to state that an individual is rejecting coverage for industrial insurance.

This document is used for making changes to the insurance coverage for a leased property in the state of Nevada.

This document is a confidentiality agreement for individuals who have access to the Contract Entry and Tracking System (CETS) in Nevada. It outlines the terms and conditions regarding the handling and protection of confidential information.