Request for leave of absence - State of Nevada 2026

1. Click ‘Get Form’ to open the request for leave of absence - State of Nevada in the editor.
2. Begin with Part A: Employee Information. Fill in your name, employee ID, address, class title, and agency name. Ensure all fields are accurately completed to avoid delays.
3. Move to Part B: Leave Dates. Specify your estimated leave start date and expected return date. If applicable, indicate if you are requesting intermittent leave by detailing the days and hours you will be absent.
4. In Part C: Reason for Leave, select the appropriate reason for your leave. Provide a brief description if it’s for your own health condition or specify details regarding family members if applicable.
5. Complete any required documentation as indicated in the form, including signatures and dates. If someone else is signing on your behalf, note that conversation clearly.

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