| Sick Leave Documentation- GINA Warning |
NPD-82 |
NPD-82 |
7/2011 |
| FMLA Leave of Absence Form |
NPD-60 |
NPD-60 |
6/2023 |
| FMLA Notice of Eligibility and Rights & Responsibilities |
NPD-62 |
NPD-62 |
9/2018 |
| FMLA Designation Form |
NPD-63 |
NPD-63 |
9/2018 |
| FMLA Medical Release |
NPD-81 |
NPD-81 |
7/2015 |
| FMLA Medical Certification for Employee |
|
WH-380-E |
1/2011 |
| FMLA Medical Certification for Family Member |
|
WH-380-F |
5/2015 |
| FMLA Certification of Qualifying Exigency for Military Family Leave |
|
WH-384 |
2/2013 |
| FMLA Certification for Serious Injury or Illness of a VETERAN for Military Caregiver Leave |
|
WH-385-V |
5/2015 |
| FMLA Certification for Serious Injury or Illness of a CURRENT service member for Military Family Leave |
|
WH-385 |
5/2015 |
| FMLA Help for Health Care Providers flyer |
|
FMLA HCP flyer |
8/1/2023 |
| Request to Receive Catastrophic Leave Donations |
PAY-23 |
PAY-23 |
1/2016 |
Notification of Agency's Payroll Center (Regarding a Request to
Use Catastrophic Leave) |
PAY-23A |
PAY-23A |
6/8/2010 |
| (Catastrophic) Notice of Intent to Donate/Request to Transfer Leave/Return of Excess Donated Leave |
NPD-25 |
NPD-25 |
11/2012 |
| Physician's Certification for Catastrophic Leave Request - EMPLOYEE |
PAY-23CE |
PAY-23CE |
1/2016 |
| Physician's Certification for Catastrophic Leave Request - IMMEDIATE FAMILY MEMBER |
PAY-23CF |
PAY-23CF |
1/2016 |
| Formal Appeal to Committee on Catastrophic Leave |
PAY-23B |
PAY-23B |
1/2015 |
| Voluntary Leave Without Pay Authorized Pursuant to NAC 284.580 |
TS-12 |
TS-12 |
2/2013 |
| Differential Pay for Active Military Duty Policy & Procedures |
ML-1-3 |
ML-1-3 |
11/2012 |
| Calculation of Military Differential Pay |
ML-4 |
ML-4 |
3/2011 |
| Shift Trade Agreement |
TS-133 |
TS-133 |
8/2002 |