Assembly Acknowledgment Form
Please complete the following. Thanks!
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Full Name
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First Name
Last Name
Your Room No.
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Please enter your Office Room No.
Are you issued a badge?
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Yes
No
Are you issued with key(s)?
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Yes
No
Key numbers
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Please enter the number indicated on the keys.
Are you issued with a Laptop?
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Yes
No
Laptop Service Tag or NL Tag No.
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Mark all other items issued to you:
Gregg Reference Manual
Dictionary
Assembly Rules and Protocol Manual
Other
Details (Control No.)
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Please enter the control number (i.e., G-1, D-1, etc., or N/A)
Acknowledgment
I understand that the controlled item(s) provided (Gregg, Dictionary, and/or devices) to me must be returned to the Nevada State Assembly on or before my last day or when directed to do so.
Assembly Rules and Protocol Manual Acknowledgment
I hereby acknowledge that I have received a copy of the Nevada State Assembly’s 2023 Rules and Protocol Manual and understand that it provides guidelines and general information regarding my employment with the Assembly; I understand that it is my responsibility to read and familiarize myself with all information in the handbook; I understand and acknowledge that the information, policies, and benefits described in the handbook are not all-inclusive and are subject to change by the Assembly in its sole and absolute discretion; I understand that the Manual is not a contract of employment, either expressed or implied. I understand that employment with the Assembly is at-will and may be terminated at any time, for any reason, with or without notice; I understand that this signed acknowledgment is placed in my personnel file.
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