Form Npd -45 - Notice Of Transfer Or Resignation
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1NOTICE OF TRANSFER OR RESIGNATION
This is the prescribed form for a State of Nevada Executive Branch employee to give notice of transfer to
another State agency or resignation from State service.
Name: _____________________________________________________ Employee I.D.#: _____________
Current Agency: ________________________________________________________________________
Last Date with Current Agency: _________________ at: ___________________ (designate a.m. or p.m.)
If no last date is indicated above, a standard two weeks’ notice from the date the notice was submitted will be assumed unless the
appointing authority or designee waives the requirement and completes the box at the bottom of this form. Additionally, if the
appointing authority or designee waives the requirement, he or she will input the employee’s last date with current agency above.
Transferring Employees
I am transferring to another State agency.
Agency Transferring To: _________________________________________________________
New Position Title: ______________________________________________________________
First Date with New Agency: ______________________________________________________
Important Note for Transferring Employees: If you are a classified employee transferring to an unclassified
position, you will no longer have rights as a classified employee including any right to be restored to your former
position. ___________
Initials
If you are transferring to the Legislative Counsel Bureau (LCB) or the Nevada System of Higher Education (NSHE),
you will be considered a transfer even though your ESMT-A will indicate a termination code.
Resigning Employees
I am resigning from State service.
Reason for Resignation: ___________________________________________________________
Mailing Address: ________________________________________________________________
By initialing, I understand that if my last day, as indicated above, is less than two weeks’
notice, such a termination code could be used on my separation paperwork if it is not waived.
_____________
Initials
RESIGNATION INFORMATION ONLY: You are hereby advised that in accordance with NRS 284.381, once
your written resignation from State service is accepted by your appointing authority, you may not revoke the
resignation regardless of the effective date set forth if 3 or more working days have elapsed since its acceptance unless
your appointing authority approves the revocation.
_____________________________________
_____________________
Employee Signature:
Date:
Acceptance by Appointing Authority or Designee (e.g. Supervisor)
Two weeks’ notice requirement waived.
Name: __________________________________________________ Title: _________________________
Signature: __________________________________________ Date/Time: _________________________
NPD-45 5/2016 rev. #2
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