Human Resources

Forms File Search

Type in the form name or keyword and choose a category to narrow your search results.

Keyword: (Title, Name, keywords)
Category:  
     
   
UNR Forms
BCN Forms
Form title Description
Personal Data Form Completed by all employees at hire, including volunteers, and some demographic data changes Description of Military Veteran Status
Procedure for a Student Employee Work Related Injury Describes the Nevada workers' compensation system

Form title Description
Affidavit of Rejection of Coverage for Corporate Owners/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 Individual/Sole Proprietor Use when an individual or sole proprietor has rejected workers' compensation coverage
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
Application for Reimbursement of Claim-Related Travel Expenses D-26 - Can be used when requesting reimbursement for travel
Global Companion/MEDEX Use this card when traveling out of country. It provides insurance information for foreign voluntary workers' compensation coverage.
Leave Choice Option Form Used to choose leave option when an employee is eligible for temporary total disability (TTD) benefits
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.
Supervisor Training Responsibilities for Student Employees
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.
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.