To apply for Nevada Recovery-Friendly Workplace status, fill out and submit the form below. STATE OF NEVADA NV HomeDirectory of State AgenciesPublic Notices.This document explains what you want if you are in a coma or have a terminal illness and cannot express your wishes yourself. This form lets you have a say about how you want to be cared for if you cannot speak for yourself. You can fill out Part 1, Part 2, or both. If you cannot provide the requested documents, you may submit this "letter of explanation. Clearly state that the employee is medically fit to return to work. If there are any restrictions or accommodations needed, specify them in detail. To reach our office, call or text 702-890-9729, or fill out the form on our Contact Us page. This booklet includes the forms needed for maintaining occupational injury and illness records.