Department Of Personnel Seal of Nevada  

 

 

 

 

 

 

 

 

 

 
Form Title MS WordŽ AdobeŽ 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
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
COMPENSATION
Request to Accelerate Salary NPD-4 NPD-4
Request for Accelerated Steps - Equitable Relationships NPD-4A (Excel) NPD-4A
Request for Accelerated Steps - New Hires NPD-4B (Excel) NPD-4B
Request for Temporary Adjustment to Salary 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

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
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
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
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
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
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
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
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)
 
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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 --
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
Termination-Transfer Checklist TTC

 

 

 

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