Crime-Victim and Witness Court-Attendance Leave Request Packet - Nevada

Nevada Employment & HR Updated August 11, 2026 Free Word and PDF

WITNESS-SERVICE ABSENCE REQUEST PACKET

Nevada — NRS 50.070

Use this packet for a person who is a witness or has received a summons to appear as a witness in a judicial or administrative proceeding.

1. EMPLOYEE AND EMPLOYER

Field Entry
Employee [________________________________]
Employer [________________________________]
Position / department [________________________________]
HR / supervisor contact [________________________________]
Preferred confidential contact [________________________________]

2. WITNESS-SERVICE GATE

  • ☐ Employee is a witness.
  • ☐ Employee received a summons to appear as a witness.
  • ☐ Judicial proceeding
  • ☐ Administrative proceeding

Court or agency: [________________________________]

Case or matter identifier, using the minimum necessary information: [________________________________]

Appearance date and time: [________________________________]

Expected work absence: [DATE / START / END]

3. EMPLOYEE REQUEST

I request an absence from [START] through [END] on [DATE] for witness service described above.

Pay or leave-bank request under policy, agreement, or another law:

  • ☐ Accrued paid leave: [TYPE / HOURS]
  • ☐ Unpaid time
  • ☐ Schedule adjustment: [________________________________]
  • ☐ Counsel review: [________________________________]

NRS 50.070 does not state that witness-service time must be paid.

Employee signature: __________________________ Date: ______________

4. MINIMUM DOCUMENT DELIVERY

  • ☐ Summons or subpoena, if issued
  • ☐ Scheduling or cancellation notice
  • ☐ Other minimally necessary confirmation: [________________________________]

Do not attach police reports, medical records, victim addresses, or offense narratives unless current law or counsel requires them.

Secure delivery date, method, and recipient: [________________________________]

5. EMPLOYER REVIEW

NRS 50.070 prohibits terminating employment, or asserting that employment will be terminated, as a consequence of service as a witness or prospective witness. The statute does not use a broader discipline-or-retaliation formulation; review other law and policy separately.

  • ☐ Covered witness status confirmed
  • ☐ Absence approved as requested
  • ☐ Schedule adjusted
  • ☐ Pay / leave-bank treatment: [________________________________]
  • ☐ Counsel review required

A prohibited termination or threat is a misdemeanor. A discharged employee may seek lost wages and benefits, reinstatement without loss of position, seniority, or benefits, an additional amount equal to lost wages and benefits, and reasonable attorney fees.

Employer representative: _____________________ Date: ______________

Decision delivered to employee: [DATE / METHOD]

6. CHANGE LOG

Date Proceeding update Employee notice Work adjustment
[________] [________________] [________________] [________________]
[________] [________________] [________________] [________________]

OFFICIAL SOURCE VERIFIED

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About this template

Last updated
August 11, 2026
Citations checked
August 11, 2026
Jurisdiction
Nevada
Category
Employment & HR

Legal authority

  • NRS 50.070 (termination and threatened termination because of witness service; remedies)

Employment documents govern the relationship between a company and its workers, from offer letters and employment agreements through handbooks, performance reviews, and separations. Done right, they set clear expectations, protect against wrongful termination and discrimination claims, and give both sides a record to rely on. Done poorly, they invite lawsuits, agency complaints, and costly disputes.

Not legal advice

This template is provided for informational purposes. We recommend having an attorney review any legal document before signing, especially for high-value or complex matters.

Checked against the law it cites

A reviewer verified this template's legal citations against the official source on August 11, 2026.

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