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Listed below are all of the forms and documents used by Human Resources.

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Benefits

• Agreement for Salary Reduction Under Section 403(b) [pdf]
  Voluntary Tax Sheltered Annuity 403(b) Deduction and Change Form.
• Benefits by Employee Type [pdf]
• Benefits Enrollment and Change Form [Web]
  PEBP: BECF Please contact the Benefits Office to obtain a form at (775) 784-6163.
• Classified Grants-in-Aid [Web]
  VPAF 103 For tuition payment for classified employees. For more information on filling out the form, call (775) 784-6082.
• Classified Staff Benefits [pdf]
  Last Updated: June 2012
• Deduction Stop Form [pdf]
  Deduction cancellation for supplemental benefit forms
• Dental Claim Form [pdf]
  For dental claim reimbursement
• Designation of Beneficiary for Unpaid Compensation Form [pdf]
  This form allows employees to designate one or more beneficiaries to receive the amount of any unpaid compensation in the event of the employee's death.
• Faculty Benefits (Administrative and Academic) [pdf]
  Last Updated: May 2011
• Faculty Grants-in-Aid [Web]
  UNR For payment of a specified portion of the registration fee for faculty and eligible dependents. For more information on filling out the form, call (775) 784-6082.
• FICA Alternative Retirement Plan Information Sheet (FARP) [doc]
  For employees who do not participate in another retirement plan: FICA Alternative Retirement Plan.
• FICA Enrollment Form-Continuing Employee [doc]
  FICA Alternative Form for continuing Classified Temporary Casual and Faculty Employees.
  Last Updated: January 2009
• FICA Enrollment Form-Newly Hired Employees [doc]
  Used by departments for hiring new Classified Temporary Casual and Faculty Employees.
  Last Updated: January 2009
• Guidelines on Issuing Grant-In-Aid for LOAs [doc]
• Hartford Deferred Compensation 457 Change Form [pdf]
  Voluntary Deferred Compensation 457 Change Form for Hartford Insurance Company
• ING Deferred Compensation 457 Change Form [doc]
  Voluntary Deferred Compensation 457 Change Form for ING Life Insurance and Annuity Company.
• Letter of Appointment with Benefits (LOB) [pdf]
  Last Updated: June 2012
• Life Insurance Beneficiary Form [Web]
  The Standard Insurance Company provides life insurance for all employees covered by PEBP Benefits. Complete this form to update your beneficiary for this benefit.
• Medical Claim Form [pdf]
  For state self-funded medical and vision plan claims reimbursement.
• Medical Resident / Postdoctoral Fellow Company Allocation Form [pdf]
  Retirement Plan Enrollment and Change Form.
• Metlaw Enrollment Form [pdf]
  Enrollment form for the Metlaw Legal Plan by Hyatt.
  Last Updated: May 2012
• PERS Change of Member Contribution Plan [pdf]
  For a PERS member who is changing from the employee/employer contribution plan to the employer-pay contribution plan.
• PERS Member Enrollment Form [pdf]
  This form should be completed for all new hires that are eligible for enrollment under NRS 286.293. This form is also used to enroll persons who have returned from leave without pay or from ineligible status, or for a retired employee electing to re-enroll under authority of AB 555.
  Last Updated: November 2006
• PERS Survivor Beneficiary Designation [pdf]
  This form should be completed for the designation of a beneficiary once the member has established eligibility for survivor benefits.
  Last Updated: May 2012
• Phase-In Retirement Application (RPA Plan) [pdf]
  Faculty Retirement Plan (not PERS). PERS members should contact HR for a Phase-In Retirement Application.
• Postdoctoral Fellow Benefits [pdf]
  Last Updated: June 2012
• RPA Allocation Form [pdf]
  Faculty Retirement Plan Enrollment and Change Form.
• Section 125 Direct Deposit Form - ASI [pdf]
  Speed up the receipt of your Section 125 reimbursement with direct deposit; have it paid directly into your bank account.
• Section 125 Request for Additional Debit Card - ASI [pdf]
  Get a debit card for your Spouse or Dependents with this form.
• SSA-1945 Windfall Elimination Provision [doc]
  Explanation and Statement concerning Employment in a job that is not covered by Social Security. Used for Classified and Faculty Employees.
  Last Updated: December 2004
• Temporary Laborer Benefits [pdf]
  Last Updated: June 2012

Disciplinary Action

• Prohibitions & Penalties [pdf]
  NSHE Document which clarifies existing policy, procedure and regulation. Signed by Classified employees at the time of hire.
• Supervisor's Guide to Prohibitions and Penalties [pdf]
  A guide for supervisors that describes proper disciplinary and dismissal actions of Classified employees.
  Last Updated: September 2009
• Written Reprimand [doc]
  NPD-52 form for Classified employees of the State of Nevada.
  Last Updated: September 2011

Employee Separation

• Employee Separation Checklist [doc]
  Checklist should be utilized at separation of employee. For department and employee use only. The following is a list of items that may need attention or action from the department or the employee when leaving the department or the University.
• Employee Separation Checklist [docx]
  Assists with the Separation process.
• Employee Separation Explanation [docx]
  Describes the circumstances and descriptions of employee separation scenarios.
• Employee Separation Notification [Web]
  Must be completed at separation of employee. Form alerts critical departments such as Human Resources, Payroll, Benefits, and Information Technology of the separation. Faculty Leave Records should be audited by the department leave keeper. A copy of the leave card/record (not leave requests) should be sent to Human Resources with the separation PAF.
• Faculty Exit Questionnaire [doc]
  A questionnaire for faculty to fill out upon the conclusion of their time with the University that asks about the faculty member's work experience.
  Last Updated: April 2005

Furlough and Unpaid Leave

• Classified Furlough Information [Web]
• Frequently Asked Questions: Faculty Salary Reduction and Unpaid Leave [pdf]
  Last Updated: December 2011
• Policies and Procedures for Faculty Salary Reduction and Unpaid Leave [pdf]
• Policy for Reporting Classified Furlough to Payroll [docx]
• PowerPoint Presentation: 2011-2012 Salary Reduction/Mandated Unpaid Leave [pptx]
• Recorded Informational Sessions on Salary Reduction/Unpaid Leave [pdf]
• Salary Reduction Furlough Grid [xlsx]

Graduate Student Forms

• Overload Policy for Graduate Assistants [pdf]
  Overload Policy for Graduate Assistants
  Last Updated: July 2012
• Common Action Codes: Graduate Student Employees [pdf]
  Common Action Codes for graduate student employees.
• Data Entry Codes for Graduate Assistants [pdf]
• Exception to Policy Graduate Assistants [docx]
  Exception to Policy for Graduate Assistants
  Last Updated: September 2012
• Graduate Assistant Handbook [pdf]
  Graduate Assistant Handbook.
  Last Updated: June 2012
• Graduate Assistant Insurance [pdf]
  Graduate Assistant insurance info.
• Graduate Assistant New Hire Packet [pdf]
  Graduate Assistant New Hire Packet Web Page
  Supervisors should use this checklist as a guide for completing the paperwork of new Graduate Assistant hires.
  Last Updated: November 2012
• Graduate Assistant Overload Policy [pdf]
  Graduate Assistant Overload Policy
  Last Updated: July 2012
• Graduate Grants-in-Aid / Insurance Form [Web]
  Graduate Assistant fee waiver online form.
  Last Updated: July 2012
• Graduate Student Tuition and Insurance Costs [pdf]
  Graduate Student Grant in Aid info for 2012-2013
  Last Updated: June 2012

Grievance Procedures

• Formal Appeal of Discipline or Involuntary Transfer [pdf]
  NPD-54 form for Classified employees of the State of Nevada.
  Last Updated: January 2004
• Formal Grievance [doc]
  NPD-50- For Classified staff of the State of Nevada. This form initiates the grievance process.
  Last Updated: August 2007
• Formal Grievance Response to NPD-51 (See Grievance Procedure) [doc]
  NPD-51 for Classified staff of the State of Nevada, this is a form for formal response to a grievance.
  Last Updated: February 2011
• Grievance Filing (Agreement to Extend) [pdf]
  TS-145 Classified-State of NV form.
• Grievance Procedure [pdf]
  Describes grievance procedures for Classified employees of the State of Nevada (including NSHE).
  Last Updated: May 2006
• Whistle Blower [doc]
  NPD-53 form for Classified staff of the State of Nevada.
  Last Updated: February 2011

Hiring and Compensation

• 2011-2012 Letter of Appointment, Postdoctoral Fellow and Graduate Assistant Minimum/Maximum Salary Levels [doc]
• 2012-13 Academic Faculty Schedules [pdf]
  Last Updated: June 2012
• 2012-13 Administrative Faculty Schedules [pdf]
  Last Updated: July 2012
• 2012-2013 Business Administration - 12 Month Contracts [pdf]
  Last Updated: June 2012
• 2012-2013 Business Administration - 9 Month Contracts [pdf]
  Last Updated: June 2012
• 2012-2013 Engineering - 12 Month Contracts [pdf]
  Last Updated: June 2012
• 2012-2013 Engineering - 9 Month Contracts [pdf]
  Last Updated: June 2012
• 2012-2013 Executive Salary Schedule [pdf]
  Last Updated: June 2012
• 2013-15 Academic Faculty Schedules [pdf]
  Last Updated: April 2013
• 2013-15 Administrative Faculty Schedules [pdf]
  Last Updated: April 2013
• 2013-2015 Business Administration - 12 Month Contracts [pdf]
  Last Updated: April 2013
• 2013-2015 Business Administration - 9 Month Contracts [pdf]
  Last Updated: April 2013
• 2013-2015 Engineering - 12 Month Contracts [pdf]
  Last Updated: April 2013
• 2013-2015 Engineering - 9 Month Contracts [pdf]
  Last Updated: April 2013
• 2013-2015 Executive Salary Schedule [pdf]
  Last Updated: April 2013
• Accelerate Salary Request [pdf]
  RAS-1 Classified: Form used to request higher pay for potential Classified employees.
  Last Updated: January 2012
• Administrative Salary Model [pdf]
• Classified Employment Application [pdf]
  NDP-1: State of Nevada Application (Note: used for temporary employment. Permanent classified positions recruited via NV APPS).
• Classified Hiring Packets [Web]
  All forms needed when hiring a new Classified employee for NSHE institutions.
• Contract Calculator 2012-2013 [xlsx]
  Last Updated: August 2012
• Contract Calculator 2013-2014 [xlsx]
  Last Updated: January 2013
• Contract Remarks for staff and faculty. [doc]
• Employee Notification Sheet [pdf]
  Classified/Faculty - All new international employees must fill out this form. For more information go to Non-Resident Alien Manual. All individuals who are not citizens or legal permanent resident aliens of the United States are strongly recommended to attend a Nonresident Alien Employee Orientation before receiving any payment from the Nevada System of Higher Education (NSHE). During the orientation with the Nonresident Alien Tax Specialist, you will be discussing your appropriate tax withholding status and complete any additional tax withholding or exemption forms.
• Employment Requisition [Web]
  VPAF 202 Request to initiate a recruitment or classification action on new or existing positions.
  Last Updated: October 2011
• Faculty Hiring Packet [pdf]
  This is the hiring packet sent to the new faculty member. It should be used with the Faculty New Hire Checklist.
  Last Updated: May 2013
• FICA Alternative Enrollment Form-Continuing Employees [doc]
  Alternative plan for continuing employees administered by the State's Deferred Compensation Committee for employees who would typically contribute.
  Last Updated: January 2009
• FICA Alternative Enrollment Form-New Hired Employees [doc]
  Used by departments for hiring new Classified and Letter of Appointment Employees. New = hired after 7/1/05 or has not been paid for one year.
  Last Updated: January 2009
• FICA Alternative Plan Information Sheet (FARP) [doc]
  FICA Alternative Retirement Plan. This plan was established for NSHE employees who do not participate in another retirement plan.
• Guide for Recruiting [pdf]
  Guide for recruiting Classified staff.
  Last Updated: November 2010
• LOA Guidelines [doc]
  Last Updated: June 2012
• LOA Hiring Packet [pdf]
  This packet is for Letter of Appointment contracts (LAC/LOA, LBC/LOB, etc.) It should be used with the Faculty New Hire Checklist or the UNR Rehire Checklist.
  Last Updated: May 2013
• Medicine Basic Science - 12 Month Salary Schedule [pdf]
• Medicine Basic Science- 9 Month Salary Schedule [pdf]
• Medicine MDs - 12 Month Salary Schedule [pdf]
• Medicine MDs - 9 Month Salary Schedule [pdf]
• Medicine MDs Specialty- 12 Month Salary Schedule [pdf]
• Medicine MDs Specialty- 9 Month Salary Schedule [pdf]
• Nepotism [doc]
  NRS 281.210 prohibits the appointment of closely related individuals to positions in which one employee is in the line of supervision over the other employee. This regulation also applies to current employees who are appointed to different positions through promotion, transfer, voluntary demotion or any other type of appointment, and individuals who become related to each other, such as through marriage.
  Last Updated: September 2004
• Nevada Workplace Safety Form [pdf]
  Must be completed upon hiring a new employee.
• New Hire Checklist - Faculty [doc]
  Used by departments hiring Faculty, Letter-of-Appointment and Postdoctoral staff.
  Last Updated: July 2012
• New Hire Checklist - Student [pdf]
  Form to assist with the hiring of student employees.
  Last Updated: March 2011
• New Hire Packet - Student [pdf]
  To help with the onboarding of new student hires.
  Last Updated: March 2011
• Notification of New Employee Form [Web]
  Must be completed upon hiring a new employee. Form alerts critical departments such as Human Resources, Payroll, Benefits, and Information Technology that there is a new hire.
• NSHE Sexual Harassment Policy and Complaint Acknowledgment Form (Volunteers) [doc]
  A form acknowledging a volunteer staff's receipt of NSHE's sexual harassment policy and complaint document.
• Oath [PDF]
  Must be completed by all Faculty at hire.
  Last Updated: September 2011
• Overload Calendar FY 12-13 [pdf]
  Last Updated: March 2012
• Overload Calendar FY 13-14 [pdf]
  Last Updated: January 2013
• Personal Data Form [pdf]
  Personal Data Form Web Page
  Completed by all employees at hire, including volunteers, and some demographic data changes Description of Military Veteran Status (link to that form provided here).
  Last Updated: April 2009
• Personnel / Payroll Action Form (PAF) for Faculty, Postdoctoral Fellows, Letter of Appointment, Medical Residents, Graduate Assistants [pdf]
  Completed by department for Faculty, Postdoctoral Fellows, Letter of Appointment, Medical Residents, Graduate Assistants new hires and any changes to pay status for those hires.
• Personnel/Payroll Action Form (PAF) for Classified Staff & Students [pdf]
  PAF form completed by department for Classified and Student new hires and any changes to pay status
• Placement Committee Meeting Dates [doc]
  This memo announces the Administrative Faculty Salary Placement Committee monthly meeting dates and deadlines for submitting agenda items. The Committee meets on the second Friday of each month in the specified meeting location. Occasionally these dates may change to fit individual schedules of the Committee members.
  Last Updated: November 2011
• Position Questionnaire - Instructions and Form [DOC]
  Form NPD-19 instructions and form for Classified (New Positions/Reclassification).
  Last Updated: January 2012
• Power of Attorney [doc]
  Authorization for an alternate to sign specific documents in the absence of the employee.
  Last Updated: April 1999
• Pre-employment Certification [doc]
  All University job candidates approved for interview are required to complete and return this form to the Search Chair prior to being interviewed. All new letters of appointment must complete and submit with new hire paperwork.
  Last Updated: December 2005
• Previously Employed Packet - Student [pdf]
  For previously employed student employees, this form assists with the rehiring process.
  Last Updated: March 2011
• Prohibitions & Penalties [pdf]
  NSHE Document which clarifies existing policy, procedure and regulation. Signed by Classified employees at the time of hire.
• Rehire Checklist - Faculty [doc]
  A list of all forms needed when re-hiring a University faculty employee.
  Last Updated: June 2004
• Request for Establishment of Faculty Stipend [doc]
  The purpose of this questionnaire is to gather information to be used in determining the stipend salary range for a staff position. For more information, view the Administrative Manual section # 2550.
• Request for Instructional Compensation - Administrative Faculty [doc]
  Form for Administrative faculty who want to engage in teaching activities at the request of an instructional unit of the University of Nevada, Reno.
  Last Updated: January 2007
• Sexual Harassment Policy & Complaint Procedure [pdf]
  Sexual Harassment Policy & Complaint Procedure Web Page
  Sexual harassment policy and complaint procedure for all employees of the University.
  Last Updated: May 2003
• Sexual Harassment Policy and Complaint Acknowledgment Form (Classified and Temporary Classified Employees) [Web]
  NSHE Policy Against Sexual Harassment and Complain Procedure, Nevada Workplace Safety and Policy Statement Alcohol/Drug Free Workplace are included
• Sexual Harassment Policy and Complaint Acknowledgment Form (Faculty) [pdf]
  NSHE Policy Against Sexual Harassment and Complain Procedure, Nevada Workplace Safety and Policy Statement Alcohol/Drug Free Workplace are included
  Last Updated: June 2010
• Stipends PDQ for Academic Faculty [doc]
  Academic Stipend form.
  Last Updated: August 2012
• Stipends PDQ Instructions [doc]
  Instructions for completion of Academic Stipends form.
  Last Updated: February 2012
• Temporary Adjustment to Salary Request [pdf]
  For temporary adjustments to salaries of Classified staff.
  Last Updated: January 2010
• Temporary Position Guide [doc]
  To initiate a temporary or casual labor Classified position.
• Temporary Position Request Form/Procedures [doc]
  PS300 Classified Temporary Position request from and completion instructions
  Last Updated: November 2008
• Terms of Employment for Adjunct/Clinical Faculty [pdf]
  Last Updated: July 2208
• Terms of Employment for Faculty [pdf]
  Last Updated: July 2008
• Terms of Employment for Graduate Assistants [pdf]
  Last Updated: July 2008
• Terms of Employment for LOAs and Overloads [pdf]
  Last Updated: July 2008
• Terms of Employment for Post Docs [pdf]
  Last Updated: July 2008
• Variable Workweek Request [doc]
  For Classified staff.
  Last Updated: January 2007

HR Liaison Tools

• 2012-2013 United Way Pledge Form [pdf]
  2012-2013 United Way Pledge Form
  Last Updated: September 2012
• Account Line Change [docx]
  Last Updated: December 2010
• Calculating Faculty Salaries [doc]
• CBE Training Manual [pdf]
  The Contract and Budget Entry (CBE) program combines Human Resources (HR) annual faculty contract renewal process with the Planning, Budget and Analysis (PBA) fiscal year position budgeting process. The program allows users to submit contractual changes, merit recommendations, update supervisor information and budget positions at one location.
  Last Updated: January 2013
• Common Action Codes [pdf]
• Common Action Codes: Graduate Student Employees [pdf]
  Common Action Codes for graduate student employees.
• Common Job Class Codes [pdf]
• Contract Calculator 2012-2013 [xlsx]
  Last Updated: August 2012
• Contracts for Post-Doctoral Fellows [doc]
  Last Updated: December 2007
• Data Entry Codes for Classified Employees [pdf]
• Data Entry Codes for Graduate Assistants [pdf]
• Data Entry Codes for Student Employee [pdf]
• Furlough Grid [xlsx]
• Grant Named Contracts [doc]
• HR Transcript Verification Process For Faculty and Post-Doctoral [doc]
• I9 Form [Web]
  Classified/Faculty - link to United States Citizenship and Immigration web site containing most recent Form I-9.
• I-9 Handbook for Employers [pdf]
  M-274 form describing the I-9 process for employers
  Last Updated: June 2011
• I-9 Update Memo [pdf]
  Basic instructions and updates about the I-9 process.
  Last Updated: February 2011
• LOA Guidelines [doc]
  Last Updated: June 2012
• LOA Salary Over Q-2 [doc]
• Moving Expenses [Web]
  For detailed information on the Moving Expense Policy, please visit the State Administrative Manual, section 0238.0 as well as, the UNR Administrative Manual, section 2540, page 166
• New Hires [doc]
• Promotions for Post-Doctoral Fellows [doc]
  Post-Doctoral fellows can be promoted from postdoctoral fellow to Research Assistant Professor if hired as a post-doctoral fellow through a search. If hired as a post-doctoral fellow under the non search hire policy, they are not eligible for promotion.
  Last Updated: March 2008
• SAMPLE Terms of Employment/Salary Worksheet [pdf]
• Signature Authority List for Faculty and Post-Doctoral [docx]
  Last Updated: September 2012
• Special Clauses [docx]
  The base salary is subject to any furlough, unpaid leave or salary reductions imposed by the Board of Regents of the Nevada System of Higher Education.
• Student Employment HR Web Contract Training Module [pptx]
• Student Employment Job Classifications Schedule [doc]
  Student employment job classifications, compensation and class codes.
  Last Updated: July 2010
• Tenure Calculation Worksheet [xlsx]
  Use this spreadsheet to calculate tenure.
• Tenure Extension Request Form [doc]
  Used for faculty hired mid-year or for faculty who need to request an extension to their tenure clock. Enables tenure calendar to begin at the beginning of the first full year of employment or be extended for a specific period of time.
  Last Updated: October 2008
• Tutorial: Faculty Overload Comments [docx]
• Tutorial: Faculty Overloads [docx]
  Last Updated: April 2012
• Tutorial: Faculty Tutorial on Account Line Changes [docx]
• Tutorial: LOA Comments [docx]
  Last Updated: November 2011
• Tutorial: LOA New Hire [docx]
  Last Updated: December 2010
• Tutorial: Reappoint LOA [docx]

Leave

• 2013 Academic "B" Faculty Automated Leave Record Form [xlsx]
  UNR Form. B-Faculty Automated Leave Record Form. Do Not Save File to Older Version.
  Last Updated: February 2013
• 2013 Academic "B" Part-Time Faculty Automated Leave Record Form. [xlsx]
  UNR Form. "B" PART-TIME Faculty Automated Leave Record Form. Do Not Save File to Older Version.
  Last Updated: February 2013
• 2013 AD & AC "A" Faculty Automated Attendance Leave Record Form [xlsx]
  UNR Form. A-Faculty Automated Leave Record Form. Do Not Save File to Older Version.
  Last Updated: February 2013
• 2013 AD & AC "A" Part-Time Faculty Automated Attendance Leave Record Form [xlsx]
  UNR Form. "A" PART-TIME Faculty Automated Leave Record Form. Do Not Save File to Older Version.
  Last Updated: February 2013
• 2013 Classified Staff Automated Attendance Leave Record Form [xlsx]
  UNR Form. Classified Automated Leave Record Form. Do Not Save File to Older Version.
  Last Updated: February 2013
• 2013 Post Doc Automated Attendance Leave Record Form [xlsx]
  UNR Form: Post Doc Automated Leave Record Form. Do Not Save File to Older Version.
  Last Updated: February 2013
• 2013-2014 Resident Physician Automated Attendance Leave Record Form [xls]
  UNR Form Resident Physician Automated Leave Record Form. Do Not Save File to Older Version. File Must be Saved as Excel 2007 File.
  Last Updated: May 2013
• CAT Leave - Authorization to Release Employee Name for Catastrophic Leave [pdf]
  CAT-3 Classified employees complete this form so that his/her name can be released to solicit leave donations and/or to employees that receive leave donations.
  Last Updated: July 2007
• CAT Leave - Formal Appeal to Committee on Catastrophic Leave [pdf]
  PAY-23B Classified employees may file an appeal if "aggrieved" by any decision of an appointing authority made pursuant to NRS 284.362 to 284.3626, may appeal the decision by filing a written notice with the Committee on Catastrophic Leave within 10 days after the date of the decision.
  Last Updated: January 2007
• CAT Leave - Physician's Certification for Catastrophic Leave Request [pdf]
  PAY-23C PAY-23C UNR Classified employees use this form to have a Physician certify the medical condition for catastrophic leave eligibility.
  Last Updated: August 2011
• CAT Leave - Policy and General Procedures [pdf]
  Policy Classified employees can refer to the UNR Catastrophic Leave – Policy and General Procedures.
  Last Updated: December 2012
• CAT Leave - Request to Receive Catastrophic Leave Donations Form [pdf]
  CAT-1 CAT-1 UNR Classified employees use this form to request to receive Catastrophic Leave donations. UNR Catastrophic Leave - General Procedures document.
  Last Updated: August 2011
• CAT Leave - Request to Transfer Catastrophic Leave Form [doc]
  CAT-2 Classified employees complete this form to donate sick and annual leave to an eligible employee or to the catastrophic leave pool
  Last Updated: January 2008
• Educational Leave Stipend [pdf]
  The purpose of educational leave is to provide classified staff within one year of completing their degree, with the opportunity for continued professional growth and new or renewed intellectual achievement. This may be accomplished through study leading to completion of a degree, whether associate, undergraduate, graduate or Ph.D., so that career effectiveness may be enhanced, occupational usefulness increased, and the institution’s personnel skills strengthened. The program requires a commitment from both the employee and the university to be effective. The Educational Leave Program is designed to represent the shared responsibility and mutual benefit reflected in these goals.
  Last Updated: June 2005
• Educational Leave Stipend Application [pdf]
  Form used by Classified employees working toward a degree.
  Last Updated: June 2005
• Educational Leave Stipend Program Terms and Conditions [pdf]
  Terms and Conditions for submitting an Educational Leave Application.
  Last Updated: June 2005
• FMLA Certification for Serious Injury or Illness of Covered Service member [pdf]
  Military Family Leave Form: completed by employee requesting FMLA for serious injury or illness of covered service member.
• FMLA Certification of Medical Provider for Employee [pdf]
  Form is completed by a health care provider to certify medical necessity for FMLA. For Employee Seeking FMLA for Self.
• FMLA Certification of Medical Provider for Family [pdf]
  This form is completed by a health care provider to certify medical necessity for FMLA. Form for employee seeking FMLA for Family Members.
• FMLA Certification of Qualifying Exigency for Military Family Leave [pdf]
  Form is completed by Employee requesting FMLA for Qualifying Exigency.
• FMLA Request [pdf]
  Use to request a leave of absence under Family Medical Leave Act guidelines. The section part of this form should be completed by Department.
  Last Updated: September 2011
• Leave Choice Option Form [pdf]
  Used to choose leave option when an employee is eligible for temporary total disability (TTD) benefits.
  Last Updated: January 2002
• Leave Request Form [pdf]
  For Faculty and Classified staff. Use this form to submit a request for sick or annual leave.
  Last Updated: June 2009
• Overtime/Compensatory Time Tracking and Approval [doc]
  This form is completed by the employee and authorized by the supervisor for the tracking and reporting of overtime and compensatory time.
  Last Updated: April 2010
• Parental/Maternity Leave Information [pdf]
  This form has information about parental and maternity leave benefits for staff.
• Request for Change in Payroll (PR-45) [pdf]
  Form PR-45 to request to change payroll charges from one account to another account.
• Work Performance Standards - More Job Elements [doc]
  Job performance checklist for Classified staff.

Payroll

• 2013 Pay Dates for Faculty and Employees Paid Once Monthly [docx]
  Faculty and monthly paid employees are paid on the first business day of each month.
  Last Updated: December 2012
• 2013 Payroll/HR Cutoff Schedule [pdf]
  2013 timesheet cut-off schedule.
  Last Updated: December 2012
• Hourly and Overtime Form PR-29 [pdf]
  Form PR-29 to be used for classified, technical, or hourly paid employees, including overtime. It also contains a daily log for department wishing to maintain a daily record of hours worked.
  Last Updated: October 2001
• LWOP Classified Payroll Correction Form [pdf]
  VPAF 203 Classified Leave Without Pay
  Last Updated: April 2011
• Stop Payment [pdf]
  Stop payment form for a BCN Payroll check.
• W-4 [Web]
  Link to Internal Revenue Website for IRS Federal Tax withholding form.
  Last Updated: May 2013
• W-5 [pdf]
  IRS Federal Tax withholding form.

Performance and Evaluation

• 2012 Administrative Faculty Evaluation Workshop [docx]
  Last Updated: November 2012
• Academic Faculty Annual Evaluation and Merit Review Form [docx]
  Last Updated: November 2012
• Academic Faculty Evaluation Toolkit [pdf]
• Academic Faculty Example Role Statement [docx]
  Last Updated: November 2012
• Competencies for Success of Administrative Faculty [pdf]
  Last Updated: July 2008
• Digital Measures [Web]
• Employee Appraisal [doc]
  NPD-15 form for State of Nevada appraisal/performance evaluation of Classified staff.
  Last Updated: March 2009
• Employee Appraisal – Instructions [pdf]
  Classified State of Nevada Employee appraisal/performance evaluation instructions.
  Last Updated: March 2009
• Employee Appraisal - More Job Elements [doc]
  NPD-15 Classified State of Nevada employee appraisal/performance evaluation additional job elements.
  Last Updated: July 2003
• Employee Appraisal - Rating Job Elements [pdf]
  Classified State of Nevada employee appraisal/performance evaluation job elements.
  Last Updated: October 2007
• Employee Appraisal Response to Request for Review [doc]
  NPD-15R Used by reviewing officer when employee requests formal review of their appraisal.
  Last Updated: September 2011
• Evaluation Guidelines of Administrative Faculty [pdf]
  Last Updated: November 2007
• Evaluation Procedures for Administrative Faculty [pdf]
  The performance of each administrative faculty member is evaluated annually, in writing, by the immediate supervisor in accordance with the NSHE Code and relevant UNR and Unit Bylaws. The annual period is January 1 to December 31.
  Last Updated: November 2012
• Evaluation Timeline (Deadlines) [pdf]
  Last Updated: February 2013
• General Comments on the Evaluation Process [doc]
• General Guidelines for Promotion & Tenure of Academic Faculty [pdf]
  Last Updated: November 2005
• Governing Policies and Procedures for Evaluation Process of Academic and Administrative Faculty [pdf]
• Individual Performance Objective (IPO) Form for Administrative Faculty [docx]
  A thoughtful performance plan will help guide employee efforts throughout the course of the evaluation year. An Individual Performance Objective (IPO) is similar to a “Goal Statement”. The IPO allows the employee and supervisor to engage in performance planning that is specific, measurable, and relevant to the employee’s PDQ and the unit’s goals. The number of IPOs will vary from employee to employee and from department to department.
  Last Updated: November 2012
• Professional Development Plan Form for Administrative Faculty [docx]
  Last Updated: November 2012
• Rationale for Annual Evaluations of Academic Faculty [doc]
• Sample Goal Statement for Administrative Faculty [docx]
  Last Updated: November 2012
• Work Performance Standards [doc]
  NPD-14 form for Classified staff.
  Last Updated: October 2007
• Work Performance Standards - Development Instructions [doc]
  Developing work performance standards and competencies for Classified staff.

Professional and Faculty Search

• Additional Advertising Resources [doc]
  Links to websites for advertising open job positions.
• Brief Ad Format [doc]
  This is the format used for print advertising of a job position.
  Last Updated: May 2004
• Changes to Grant Named Contracts [doc]
• Diversity Outreach/Advertising Resources [doc]
  Last Updated: September 2011
• EEO/AA Statement for Ad and Announcement Copy [doc]
  One of the two statements included within this document is required to be on all job ad and announcement copy.
  Last Updated: March 2004
• e-SEARCH Navigation Basics [pdf]
  How to navigate e-SEARCH and find your requisitions.
• e-SEARCH System Workflow [pdf]
  Approval and routing process for a search.
• Guest User Login Instructions [pdf]
  e-SEARCH login instructions for committee members.
• Help Placing Advertisements [pdf]
  Last Updated: May 2012
• How to Complete the Request to Offer [pdf]
• How to Disperse Applicants [pdf]
  Instructions for moving applicants to the inactive pool.
• How to Request Interview Approval from HR [pdf]
  Steps to selecting and getting candidates approved for interviews.
• How to Submit a Request to Offer [pdf]
  Selecting the final candidate and routing the Request to Offer form for approval.
• How to Upload PDFs [pdf]
  Uploading required search documents into your requisition.
• HSI and HBCU Institution Addresses for Outreach [xls]
  Hispanic-Serving Institutions and Historically Black Colleges and Universities.
  Last Updated: May 2004
• Meeting Minutes Templates [doc]
• Offer Letter Process Flowchart [doc]
  Last Updated: October 2006
• Offer Letter Website [Web]
  Last Updated: October 2006
• Pre-employment Certification Form [pdf]
  Completion required for all phone and campus interviewees.
  Last Updated: March 2012
• Rating Sheet Instructions [doc]
  Helpful information on creating a rating sheet.
• Recruitment Manual [doc]
  A comprehensive guide to the search process.
  Last Updated: May 2012
• Reference Authorization Form [doc]
  Used for Faculty Searches when performing references checks.
  Last Updated: February 2006
• Search Chair Training Powerpoint [ppt]
  Does not substitute for training class.
  Last Updated: March 2012
• Search Committee Responsibilities [doc]
  Last Updated: February 2012
• Search Flowchart [doc]
  Outlines all stages of search process.
• Search Policies [doc]
  Fourteen rules for a successful search, including rules to abide by in the e-SEARCH process.
  Last Updated: June 2008
• Search Time Line Tool [xls]
  A tool to help with the progression of the hiring process from initial committee formation to final offer.
  Last Updated: May 2004
• Search Waiver FAQ [pdf]
• Search Waiver Flowchart [pdf]
• Search Waiver/Temporary Hire Instructions (Non-Search) [doc]
• Survey of Earned Doctorates [xls]
  Availability % by academic discipline.
• Training Website [Web]
• Where Does HR Post? [doc]

Risk Management

• Activity Release [pdf]
  Use when conducting a field trip with students. The waiver should be specific to the activity. Legal counsel should be consulted for waiver language and requirements.
• Affidavit of Rejection of Coverage for Corporate Owners/Officer or Manager of an LLC [pdf]
  Use when an officer of a quasi-public or non-profit corporation, or an officer who is an owner of a private corporation or a manager of a limited liability company has rejected workers' compensation coverage.
• Affidavit of Rejection of Coverage for Individual/Sole Proprietor [pdf]
  Use when an individual or sole proprietor has rejected workers' compensation coverage.
• Claim Against The State of Nevada [pdf]
  Use to file a tort claim against the State of Nevada for an incident or accident in which a NSHE employee or agency has caused injury or damages to another party due to a wrongful or negligent act.
  Last Updated: April 2004
• Crime and Fidelity Loss Report [pdf]
  URM-013 Use when there is a discovery of a financial loss or a situation that might result in a financial loss from employee dishonesty; forgery or alteration; theft, disappearance or destruction; and computer fraud
  Last Updated: May 2010
• Fine Arts Exhibit Coverage Request [pdf]
  URM-014 Use to report fine art loaned to the university or college.
• Fine Arts Loan Agreement [pdf]
  URM-10 Artwork Lending Agreement to use between the university or college and Lender.
• GRC Impairment Reporting Form [xls]
  Property Loss Prevention Services and Impairment Reporting Form.
• Injured Employee's Request for Compensation [pdf]
  D-6 Used by employee to receive compensation when missing more than 5 days from work in a 20 day period.
  Last Updated: July 1999
• Potential Liability Incident Report [pdf]
  URM-001 Use when an incident occurs that might result in liability on the part of the NSHE.
• Property Add Reporting Form [pdf]
  URM-022 Use this form to add a new building to the NSHE property inventory.
• Property Delete Reporting Form [pdf]
  URM-008 Use this form to delete a new building to the NSHE property inventory.
  Last Updated: January 2009
• Property Loss Report [pdf]
  URM-003 Use for theft or damage to NSHE property that exceeds $2,000 (Excluding Motor Vehicles) and for reporting boiler and machinery losses that exceed $2,000.
  Last Updated: April 2010
• Vehicle Accident Report [pdf]
  URM-002 Use when a motor vehicle accident occurs involving a third-party, whether or not there is damage or injury.
• Vehicle Change Reporting Form [pdf]
  URM-004 Use to add or delete a vehicle from the NSHE vehicle inventory. Also use to add or delete insurance coverage.
• Windshield Loss Report [pdf]
  URM-007 Use this report when there is a windshield/auto glass loss.

Student Employment

• 2012-2013 Student Employee of the Year Nomination Form [doc]
  Last Updated: January 2013
• Data Entry Codes for Student Employee [pdf]
• Eligibility Application [pdf]
  Application form for employment with the University.
  Last Updated: October 2012
• e-SEARCH Student Posting Instructions [pdf]
• Nepotism Form - Student [pdf]
  Only required if closely related individuals to position in which one employee is in the line of supervision over the other employee
  Last Updated: February 2007
• New Hire Checklist - Student [pdf]
  Form to assist with the hiring of student employees.
  Last Updated: March 2011
• New Hire Packet - Student [pdf]
  To help with the onboarding of new student hires.
  Last Updated: March 2011
• Personnel/Payroll Action Form (PAF) for Classified Staff & Students [pdf]
  PAF form completed by department for Classified and Student new hires and any changes to pay status
• Preparing Student Hiring Documents [pptx]
• Previously Employed Packet - Student [pdf]
  For previously employed student employees, this form assists with the rehiring process.
  Last Updated: March 2011
• Procedure for a Student Employee Work Related Injury [pdf]
  Describes the Nevada workers' compensation system in relation to student employment.
• Student Employee Evaluation [pdf]
  This report of employee performance should be completed by the student employee’s immediate supervisor and reviewed with the student. A careful evaluation of the student’s work can function as a guide in determining a student’s work assets or liabilities; serve as a basis for commendation and pay raises; identify areas for improvement; or provide documentation for discipline.
  Last Updated: January 2012
• Student Employment 101 [pptx]
• Student Employment HR Web Contract Training Module [pptx]
• Student Employment Job Classifications Schedule [doc]
  Student employment job classifications, compensation and class codes.
  Last Updated: July 2010
• Supervisor Training Responsibilities for Student Employees [pdf]
  Details expectations for the training of student employees.
• Time Sheet (Pay-Period)-Student Employment [pdf]
  Student Employment Time Sheet for signature authority per pay period.
• Work Study Dates [doc]
  Work study dates and earning codes for students
  Last Updated: June 2006

Use of Alcohol or Drugs

• Alcohol and Drug Free Workplace Policy [doc]
  For all University employees: policy statement regarding the use of alcohol and drugs. Must be completed upon hire.
• Alcohol and Drug Test Consent Form [doc]
  TS-76 form for Classified staff of the State of Nevada. Outlines alcohol and drug test consent policy.
  Last Updated: April 2010
• President's Memo on a Drug Free Workplace [pdf]
  Last Updated: July 2012
• Report Form for Suspected Alcohol or Drug Impairment [pdf]
  TS-77 Classified-State of Nevada form.
  Last Updated: September 2011

Workers' Compensation

• Affidavit of Rejection of Coverage for Corporate Owners/Officer or Manager of an LLC [pdf]
  Use when an officer of a quasi-public or non-profit corporation, or an officer who is an owner of a private corporation or a manager of a limited liability company has rejected workers' compensation coverage.
• Affidavit of Rejection of Coverage for Individual/Sole Proprietor [pdf]
  Use when an individual or sole proprietor has rejected workers' compensation coverage.
• Application for Reimbursement of Claim-Related Travel Expenses [pdf]
  D-26 Can be used when requesting reimbursement for travel.
  Last Updated: July 1999
• C-1 (Medical Residents Only) Notice of Injury or Occupational Disease Incident Report [pdf]
  Completed by medical resident when an injury or occupational disease occurs. Must be submitted within 7 days of the incident.
  Last Updated: October 2005
• C-1 Notice of Injury or Occupational Disease Incident Report [pdf]
  Completed by medical resident when an injury or occupational disease occurs. Must be submitted within 7 days of the incident.
  Last Updated: October 2005
• Global Companion/MEDEX [pdf]
  Use this card when traveling out of country. It provides insurance information for foreign voluntary workers' compensation coverage.
  Last Updated: January 2009
• Modified Duty Assignment Form [pdf]
  Modified duty assignment form for temporary positions assigned to Classified staff.
  Last Updated: January 2011
• Procedure for a Student Employee Work Related Injury [pdf]
  Describes the Nevada workers' compensation system in relation to student employment.
• Supervisor's Accident Investigation Report - RM - ACCINV [pdf]
  To be filled out if there is a workplace accident involving student employees.
• Volunteer Agreement [pdf]
  Used when a volunteer Category "B" volunteer is engaged: A category "B" volunteer is a person who performs a volunteer assignment for more than three days or on a recurring basis.
• Workers' Compensation Waiver Flowchart and Excluded Employees Summary [pdf]
  Use this chart as a guideline to determine when Workers' Compensation coverage is required or when it can be waived.

You can also download Accessibility Tools and Helper Applications to open these files.