Forms by Category

CLASS SPECIFICATIONS

Class Specifications - 1.000 AGRICULTURE & CONSERVATION - Classified
Class Specifications - 2.000 CLERICAL & RELATED SERVICES - Classified
Class Specifications - 3.000 DOMESTIC SERVICES - Classified
Class Specifications - 4.000 LIBRARY & ARCHIVES - Classified
Class Specifications - 5.000 EDUCATION - Classified
Class Specifications - 6.000 ENGINEERING & ALLIED - Classified
Class Specifications - 7.000 FISCAL MANAGEMENT & STAFF SERVICES - Classified
Class Specifications - 9.000 MECHANICAL & CONSTRUCTIONAL TRADES - Classified
Class Specifications - 10.000 MEDICAL, HEALTH & RELATED SERVICES - Classified
Class Specifications - 11.000 REGULATORY & PUBLIC SAFETY - Classified
Class Specifications - 12.000 SOCIAL SERVICES & REHABILITATION - Classified
Class Specifications - 13.000 SWORN LAW ENFORCEMENT - Classified
Position Questionnaire - Classified (NPD-19)[pdf]

COMPENSATION AND LEAVE

Clearance Certificate [pdf]
Designation of Beneficiary [pdf]
FMLA Leave Form (NPD-60) [pdf]
FMLA Medical Release (NPD-81) [pdf]
Formal Appeal Catastrophic Leave Appeals Committee (PAY-23B) [pdf]
Hourly Timesheets [Excel]
Notice of Intent to Donate Leave - Classified (NPD-25) [pdf]
Payroll Correction Form [.xlsx]
Payroll Overtime Submission Form - Classified [pdf]
Payroll Shift Differential Submission Form - Classified [Excel]
Physician's Certification for Catastrophic Leave Request - Employee (PAY-23 CE) [pdf]
Physician's Certification for Catastrophic Leave Request - Immediate Family Member (PAY-23CF) [pdf]
Request for Handwritten Check [pdf]
Request for Temporary Adjustment to Salary - Classified (NPD-5) [doc]
Request to Accelerate Salary - Classified (NPD-4) [pdf]
Request to Use Catastrophic Leave (PAY-23) [pdf]
Stop Payment Request [pdf]
W-4 [pdf]
Workers' Compensation Information & Forms (handled by UNLV)

EMPLOYEE RELATIONS

EEO/AA/ADAAA/Title IX Grievance Form [pdf]
Grievance Form (Classified) (NPD-50) [doc]
Response to Formal Grievance - Classified (NPD-51) [doc]
Sexual Harassment Policy Acknowledgement [pdf]
Written Reprimand - Classified Employees Template (NPD-52) [doc]

 

 

 

EVALUATIONS

Employee Appraisal (Classified) - NPD-15 [Word] [pdf]
Job Description Template (Professional) [Word]
Work Performance Standards - Classified (NPD-14) [Word] [pdf]

HIRING

ADA Appeal Form [pdf]
ADA Authorization for Release of Medical Information [pdf]
ADA Request for Reasonable Accommodation [pdf]
Affiliates Personal Data Form [pdf]
Background Check Authorization Form [pdf]
Essential Functions & Associated Factors (ADA-03) [Word]

Exposure to Bloodborne Pathogens Determination [pdf]
Exposure to Bloodborne Pathogens Determination (Spanish version) [pdf]
Job Description Template (Professional)
Meal Reimbursement Form - Faculty [pdf]
Minor Background Investigation Consent Form [pdf]
Oath - Employment Contract Attachment [pdf](for New Full-Time Academic, Professional, Part-time LOA/LOB Employees only)
Part-Time/Temporary Full-Time Employee (Professional & Administrative) Application [pdf] (only use for positions NOT on jobs.csn.edu)
Personal Data Form [pdf]
Personnel Transaction Form [pdf]
Pink Sheet Calendar [pdf]
Policy Statements Receipt Sign-off [pdf] Part-time employees only (NSHE & CSN)
SSA-1945 (Job Not Covered by Social Security) Acknowledgment [pdf]
Term of Appointment Dates and Coding [pdf]

RETIREMENT

PERS Retiree Re-Hire Form [pdf]
Phase-In Retirement Form [pdf]
Salary Reduction Agreement Form [pdf] (new version as of 12/2013)

VOLUNTEER INFORMATION

Volunteer Information and Paperwork


Human Resources information contained on the World Wide Web is in no way to be interpreted as a contract between the College of Southern Nevada and any of its employees. This information is provided as a service to the CSN community and will change as CSN changes. From time to time, CSN must modify its policies. Information is current as of the time of its presentation and may be subject to change or repeal at any time, with or without notice, at the discretion of CSN.