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Form title	Description
1-Leave Request Form	Faculty/Classified- Use this form to submit a request for sick or annual leave.
2009 Academic "B" Faculty automated Attendance Leave Record Form	UNR Form B-Faculty Automated Leave Record Form
2009 Academic "B" Part-Time Faculty automated Attendance Leave Record Form	UNR Form Part-Time B-Faculty Automated Leave Form
2009 AD & AC "A" Faculty automated Attendance Leave Record Form	UNR Form A-Faculty Automated Leave Record Form
2009 AD & AC "A" Part-Time Faculty automated Attendance Leave Record Form	UNR Form Part-Time A-Faculty Automated Leave Record Form
2009 Batch Entry Cut-off	2009 Cut-off Schedule
2009 Classified Staff automated Attendance Leave Record Form	Classified- This automated leave file is for classified leave keeping only and will not work for faculty leave records.
2009 Payroll/HR Cutoff Schedule	2009 Cut-off Schedule
2009 Post Doc Attendance Leave automated Record Form	UNR Form Post Docs - Automated Leave File
2009 Time Sheet Cut-off Dates	Dates in which paperwork is due in order for the employee's check to be included within the next pay date.
Academic Faculty Evaluation	UNR Form Faculty-annual evaluation and merit review form (January 1 through December 31)
Accelerate Salary Request	RAS-1 - Classified: Form used to request higher pay for potential employees.
Activity Release	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.
Administrative Faculty Evaluation	UNR Form Faculty-annual evaluation and merit review form (January 1 through December 31) Procedures Conflict of Interest Form Example Goal Statement
Affidavit of Rejection of Coverage for Corporate Owner/Officer or Manager of an LLC.	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 Workers' Compensation - Individual/Sole Proprietor	Use when an individual or sole proprietor has rejected workers' compensation coverage.
Agreement for Salary Reduction Under Section 403(b)	Voluntary Tax Sheltered Annuity 403(b) Deduction and Change Form.
Alcohol / Drug Free Workplace Policy	UNR Employees - Policy statement regarding the use of Alcohol and Drugs. Must be completed upon hire.
Alcohol/Drug Test Consent Form	TS-76 - Classified - State of Nevada form
Application for Reimbursement of Claim-Related Travel Expenses	D-26 - Can be used when requesting reimbursement for travel
Application for Reimbursement of Claim-Related Travel Expenses	D-6 - Used by employee to receive compensation when missing more than 5 days from work in a 20 day period
Attendance Leave Record Form	Faculty/Classified - Leave record keepers may use this form to calculate monthly leave balances.
Benefits Enrollment and Change Form	BECF - Please contact the Benefits Office to obtain a form at 784-6845.
Brief Ad Format	UNR - This is the format used for your print advertising.
CAT Leave - Authorization to Release Employee Name for Catastrophic Leave	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.
CAT Leave - Formal Appeal to Committee on Catastrophic Leave	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.
CAT Leave - Physician's Certification for Catastrophic Leave Request	PAY-23C - Classified employees use this form to have a Physician certify the medical condition for catastrophic leave eligibility.
CAT Leave - Policy and General Procedures	Policy - Classified employees can refer to the UNR Catastrophic Leave – Policy and General Procedures.
CAT Leave - Request to Receive Catastrophic Leave Donations Form	CAT-1 - Classified employees use this form to request to receive Catastrophic Leave donations. UNR Catastrophic Leave - General Procedures document.
CAT Leave - Request to Transfer Catastrophic Leave Form	CAT-2 - Classified employees complete this form to donate sick and annual leave to an eligible employee or to the catastrophic leave pool
Claim Against The State of Nevada	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.
Classified Compliance Form	Classified-UNR/NSHE only.
Classified Grants-in-Aid	VPAF 103 - For tuition payment for classified employees. For more information on filling out the form, call (775) 784-6082.
Classified Hiring Packet: New Hire and Non-Competitive Appointments	All forms needed when hiring a new or non-competitive classified employee.
Classified Hiring Packet: Promotion/Transfer/Voluntary Demotion	All forms needed when hiring a promotional, transfer or voluntary demotion classified employee
Classified Hiring Packet: Temporary Employees	All forms needed when hiring a temporary classified employee
Crime and Fidelity Loss Report	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
Dental Claim Form	For dental claim reimbursement
Designation of Beneficiary for Unpaid Compensation Form	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.
Direct Deposit	Faculty/Classified - Please include a voided check with this request. Deliver to Payroll at MS/ 122 or hand deliver to Ross Hall, Room 111.
Educational Leave Stipend Application	Form used by Classified employees working toward a degree
Educational Leave Stipend Program Terms and Conditions	Terms and Conditions for submitting an Educational Leave Application
EEO/AA Statement for Ad/Announcement Copy	UNR - One of these two statements is required to be on all ad/announcement copy.
Eligibility Application	UNR Form for Student Employment
Employee Appraisal	NPD-15 - Classified State of Nevada appraisal/performance evaluation.
Employee Appraisal Response to Request for Review	NPD-15R - Used by reviewing officer when employee requests formal review of their appraisal.
Employee Appraisal-Instructions	Classified State of Nevada Employee appraisal/performance evaluation instructions.
Employee Appraisal-More Job Elements	NPD-15 - Classified State of Nevada employee appraisal/performance evaluation additional job elements.
Employee Appraisal-Rating Job Elements	Classified State of Nevada employee appraisal/performance evaluation job elements.
Employee Notification Sheet	Classified/Faculty - All new international employees must fill out this form. For more information go to Non-Resident Alien Manual
Employee Separation Checklist	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 Notification	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.
Employment Application	NPD-1 - Classified
Employment Requisition	VPAF 202 - Classified (New Positions/Reclasses/Recruitments)
Evaluation Procedures for Administrative Faculty	UNR Form Faculty
Faculty Exit Questionnaire	UNR Faculty
Faculty Grants-in-Aid	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.
Faculty Hiring Packet	This is the hiring packet sent to the new faculty member. It should be used with the Faculty New Hire Checklist. - UNR Faculty New Hire Checklist
FICA Alternative Enrollment Form-Continuing Employees	Alternative plan for continuing employees administered by the Stat's Deferred Compensation Committee for employees who would typically contribute
FICA Alternative Enrollment Form-New Hired Employees	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.
FICA Alternative Plan Information Sheet (FARP)	FICA Alternative Retirement Plan. This plan was established for NSHE employees who do not participate in another retirement plan
FICA Alternative Retirement Plan Information Sheet (FARP)	For employees who do not participate in another retirement plan: FICA Alternative Retirement Plan.
FICA Alternative Retirement Plan Information Sheet (FARP)	FICA Alternative Retirement Plan. This plan was established for NSHE employees who do not participate in another retirement plan NSHE and who or would contribute to FICA tax.
FICA Enrollment Form (Continuing Employees)	Federal Insurance Contributions Act. NSHE implemented an alternative plan for continuing employees administered by the State's Deferred Compensation Committee for employees who would typically contribute to the FICA portion of Social Security.
FICA Enrollment Form for (Newly Hired Employees)	Federal Insurance Contributions Act. NSHE implemented an alternative plan for continuing employees administered by the State's Deferred Compensation Committee for employees who would typically contribute to the FICA portion of Social Security.
FICA Enrollment Form-Continuing Employee	FICA Alternative Form for continuing Classified Temporary Casual and Faculty Employees
FICA Enrollment Form-Newly Hired Employees	Used by departments for hiring new Classified Temporary Casual and Faculty Employees
Fine Arts Exhibit Coverage Request	URM-014 - Use to report fine art loaned to the university or college.
Fine Arts Loan Agreement	URM-10 - Artwork Lending Agreement to use between the university or college and Lender.
FMLA Certification for Serious Injury or Illness of Covered Service member	Military Family Leave Form: completed by employee requesting FMLA for Serious Injury or Illness of Covered Servicemember
FMLA Certification of Medical Provider for Employee	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	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	Form is completed by Employee requesting FMLA for Qualifying Exigency
FMLA Request	Use to request a leave of absence under Family Medical Leave Act guidelines. 2nd section of form should be completed by Department.
Formal Appeal	NPD-54 - Classified - State of Nevada form
Formal Grievance	NPD-50-A - Classified-State of NV form
Global Companion/MEDEX	Use this card when traveling out of country. It provides insurance information for foreign voluntary workers' compensation coverage.
Grievance Filing (Agreement to Extend)	TS-145 - Classified-State of NV form
Grievance Procedure	Classified-State of NV form
Guide to Recruiting Classified Staff	Step-by-step guide for recruiting permanent classified staff.
Guide to Student Employment	These guidelines, policies, and procedures have been developed to address the needs of student workers and their supervisors. Student employment is intended to be a learning experience that complements a student’s academic and career goals and provides valuable work experience. By working part-time, students are able to earn money to help pay their college costs. Additionally, student employment provides workers to help meet the staffing needs of the University.
Hartford Deferred Compensation 457 Change Form	Voluntary Deferred Compensation 457 Change Form for Hartford Insurance Company
Hourly and Overtime	PR-29 - This form is 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.
I9	Classified/Faculty - link to United States Citizenship and Immigration web site containing most recent Form I-9 I-9 Handbook for Employers PowerPoint: I-9 Training Materials PowerPoint: UNR Immigration Workshop Materials I-9 Update Memo
ING Deferred Compensation 457 Change Form	Voluntary Deferred Compensation 457 Change Form for ING Life Insurance and Annuity Company
Leave Choice Option Form	Used to choose leave option when an employee is eligible for temporary total disability (TTD) benefits
Life Insurance Beneficiary Form	The Standard Insurance Company provides life insurance for all employees covered by PEBP Benefits. Complete this form to update your beneficiary for this benefit.
LOA Hiring Packet	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. Faculty New Hire Checklist
LWOP Classified Payroll Correction Form	VPAF 203 - Classified Leave Without Pay
Medical Claim Form	For state self-funded medical and vision plan claims reimbursement
Medical Resident / Postdoctoral Fellow Company Allocation Form	Retirement Plan Enrollment and Change Form.
Metlaw Enrollment Form	Enrollment form for the Metlaw Legal Plan by Hyatt
Moving Expenses	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
Nepotism	Classified
Nepotism Form - Student	Only required if closely related individuals to position in which one employee is in the line of supervision over the other employee
Nevada Workplace Safety Form	Must be completed upon hiring a new employee.
New Hire Checklist - Faculty	Used by departments hiring Faculty
New Hire Checklist - Student	UNR Form Used by UNR departments hiring students.
New Hire Packet - Student	For New Hire Student Employees
New Hire Policies and Acknowledgement Forms	NSHE Policy Against Sexual Harassment and Complaint Procedure, Nevada Work Place Safty and Policy Statement Alcohol/Drug Free Workplace.
Notice of Injury or Occupational Disease Incident Report	C-1 - Completed by employee when an injury or occupational disease occurs. Must be submitted within 7 days of the incident.
Notification of New Employee Form	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.
Oath	Must be completed by all Faculty at new hire
Overtime/Compensatory Time Tracking and Approval	This form is completed by the employee and authorized by the supervisor for the tracking and reporting of overtme/compensatory time.
Payroll Deduction Wolf Bucks	Payroll deduction form for adding money to a Wolf Bucks account.
PERS Change of Member Contribution Plan	For a PERS member who is changing from the employee/ employer contribution plan to the employer-pay contribution plan.
PERS Member Enrollment Form	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.
PERS Survivor Beneficiary Designation	This form should be completed for the designation of a beneficiary once the member has established eligibility for survivor benefits.
Personal Data Form	Completed by all employees at hire, including volunteers, and some demographic data changes Description of Military Veteran Status
Personnel / Payroll Action Form (Faculty, Postdoctoral Fellows, Letter of Appointment, Medical Residents, Graduate Assistants)	PAF - UNR Form: Completed by department for Faculty, Postdoctoral Fellows, Letter of Appointment, Medical Residents, Graduate Assistants new hires and any changes to pay status
Personnel/Payroll Action Form (Classified & Students)	PAF - UNR Form: Completed by department for Classified and Student new hires and any changes to pay status
Phase-In Retirement Application (RPA Plan)	Faculty Retirement Plan (not PERS) PERS members should contact PERS for a Phase-In Retirement Application
Position Description Questionnaire (Administrative Faculty)	PDQ - UNR Form: Administrative Faculty Position Description Questionnaires (PDQ) are reviewed by the Administrative Salary Placement Committee for placement in the UNR Salary Schedule. PDQ Preparation and Routing Instructions.
Position Questionnaire	NPD-19 - Classified (New Positions/Reclasses)
Position Questionnaire - Instructional	NPD-19 Instructions - Classified (New Positions/Reclasses)
Potential Liability Incident Report	URM-001 - Use when an incident occurs that might result in liability on the part of the NSHE.
Power of Attorney	Authorization for an alternate to sign specific documents in the absence of the employee
Pre-employment Certification	UNR - All candidates approved for interview are required to complete and return this form to the Search Chair prior to being interviewed. See Search Process. All new letters of appointment must complete and and submit with new hire paperwork.
President's Memo on a Drug Free Workplace	Memo required to be distributed to New Employees
Previously Employed Checklist - Student	UNR Form: How to Hire a Student
Previously Employed Packet - Student	UNR Form: For previously employed student employees
Procedure for a Student Employee Work Related Injury	Describes the Nevada workers' compensation system
Prohibitions & Penalties	NSHE Document which clarifies existing policy, procedure and regulation. Signed by Classified employees at the time of hire.
Property Change Reporting Form	URM-008 - Use to add or delete a building from the NSHE building inventory.
Property Loss Report	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.
Quarterly Leave Orange Cards	Faculty/Classified -Department record keepers use this form to calculate sick and annual leave quarterly (at the end of March, June, September, and December.) The employee should sign and return the card to the leave record keeper.
Reference Authorization Form	UNR Form: Used for Faculty Searches when performing references checks.
Rehire Checklist- Faculty	UNR Form: All forms needed when re-hiring a faculty employee at UNR
Report form for Suspected Alcohol/Drug Impairment	TS-77 - Classified-State of NV form
Request for Change in Payroll	PR-45 - Request to change payroll charges from one account to another account.
Request for Establishment of Faculty Stipend	Used to submit a request to establish a new stipend cell. For more information, view the Administrative Manual section # 2550
Request for Instructional Compensation- Administrative Faculty	UNR Form: Faculty- Administrative faculty who want to engage in teaching activities at the request of an instructional unit of the University of Nevada, Reno
Request for Moving Expenses	Faculty-Required form to begin reimbursement process
Request for Payment	Attach original itemized receipts
Resident Physician automated Attendance Leave Record Form	UNR Form Resident Physician - Automated Leave File
Response to Formal Grievance	NPD-51 - Classified-State of NV form
RPA Allocation Form	Faculty Retirement Plan Enrollment and Change Form.
Section 125 Direct Deposit Form - ASI	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	Need a debit card for your Spouse or Dependents?  Complete this form and fax it to ASI.
Section 125 Request for Reimbursement - ASI	This form is for reimbursement of eligible expenses from the Health Care and Dependent Care Programs under Section 125
Separation Checklist	All Employee Types
Sexual Harassment Policy & Complaint Procedure	All Employee Types Web
Sexual Harassment Policy and Complaint Acknowledgment Form (Classified and Temporary Classified Employees)	Classified
Sexual Harassment Policy and Complaint Acknowledgment Form (Faculty)	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 (Volunteers)	Volunteers
Social Security Information for International Students	The new law which came into effect October 2004, allows international students to apply for a social security card ONLY if they have an offer of employment for on-campus job or employment authorization document issued by the Department of Homeland Security. The purpose of having a social security card is for employment only; the social security number (SSN) should not be required to open a bank account, get a cell phone or other utilities.
SSA-1945 Windfall Elimination Provision	Explanation and Statement concerning Employment in a job that is not covered by Social Security. Used for Classified and Faculty Employees.
Stipends PDQ Instructions	Instructions for completion of Academic Stipends form
Stop Payment	Stop payment form for a BCN Payroll check.
Student Employee Evaluation	UNR Form: Student Employee Evaluation
Student Employment Job Classifications Schedule	STUDENT EMPLOYMENT JOB CLASSIFICATIONS COMPENSATION AND CLASS CODES
Supervisor Training Responsibilities for Student Employees
Supervisor's Guide to Prohibitions and Penalties	Used for Classified Employees
Temporary Adjustment to Salary Request	Classified
Temporary Position Guide	Guide to initiating a temporary classified position.
Temporary Position Request Form/Procedures	PS300 - Classified (Procedures below)
Tenure Extension Request Form	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. Tenure Extension Clause Sample
Terms of Employment for Adjunct/Clinical Faculty	UNR Form: Clinical /Adjunct Faculty
Terms of Employment for Faculty	UNR Form: Faculty-Contract_Remarks_TermsofEmployment
Terms of Employment for Graduate Assistants	UNR Form: Graduate Assistant
Terms of Employment for LOAs and Overloads	UNR Form: LOAs and OVLs
Terms of Employment for Post Docs	UNR Form: Post Docs-Contract_Remarks_TermsofEmployment
Terms of Employment for Resident/Physician	UNR Form: Resident/Physician-Contract_Remarks_TermsofEmployment
Time Sheet (Pay-Period)-Student Employment	UNR Form: Student Employment Time Sheet for signature authority per pay- period
Variable Workweek Request	Classified
Vehicle Accident Report	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	URM-004 - Use to add or delete a vehicle from the NSHE vehicle inventory. Also use to add or delete insurance coverage.
Volunteer Agreement	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.
W-4	IRS Federal Tax withholding form.
W-5	IRS Federal Tax withholding form.
Whistle Blower	NPD-53 - Classified-State of NV form
Windshield Loss Report	URM-007 - Use this report when there is a windshield/auto glass loss.
Work Performance Standards	NPD-14 - Classified-State of NV
Work Performance Standards-Development Instructions	Classified-State of NV
Work Performance Standards-More Job Elements	Classified-State of NV
Work Study Dates	UNR Form: Work Study Dates and Earning Codes
Workers' Compensation Waiver Flowchart and Excluded Employees Summary	Use this chart as a guideline to determine when Workers' Compensation coverage is required or when it can be waived.
Written Reprimand	NPD-52 - Classified-State of NV form