Separation From Service Forms

If you would like more information, please contact Consultation, Accountability & Regulations:

Carrie Hughes, Personnel Analyst; cphughes@admin.nv.gov or (775) 684-0111

Nora Johnson, Personnel Analyst; nora.johnson@admin.nv.gov or (775) 684-0148

Form Title	Revision Date
Recommendation of Separation Pursuant to NAC 284.611 NPD-42 (Word) Recommendation of Separation Pursuant to NAC 284.611 NPD-42 (PDF)	4/2013
Notice of Transfer or Resignation NPD-45 (Word) Notice of Transfer or Resignation NPD-45 (PDF)	5/2016
Layoff Notice/Re-Employment Placement Forms - FS-LO Forms (Word) Layoff Notice/Re-Employment Placement Forms - FS-LO Forms (PDF)	2/2013
Employee Exit Interview Survey Memo (includes link to online version)	2021
Employee Exit Interview Survey Paper Version (PDF)	2020