Form NPD-41 "Specificity of Charges" - Nevada

What Is Form NPD-41?

This is a legal form that was released by the Nevada Department of Administration - a government authority operating within Nevada. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on July 1, 2014;
  • The latest edition provided by the Nevada Department of Administration;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form NPD-41 by clicking the link below or browse more documents and templates provided by the Nevada Department of Administration.

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Download Form NPD-41 "Specificity of Charges" - Nevada

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STATE OF NEVADA
SPECIFICITY OF CHARGES
Name:
Employee ID#:
Budget Account:
Grade:
Current Class:
Supervisor:
Step:
Division:
Date:
Department:
Section:
Time:
This is to inform you that you are alleged to have violated section 284.650 of the Nevada Administrative Code, as follows:
Date(s)
Violation(s)
A recommendation has been made by:
,
Name
Title
that it is in the best interest of the State of Nevada to take the following disciplinary action(s):
Proposed/Actual Effective Date:
Signature (Person recommending action)
In accordance with NAC 284.656, a hearing has been scheduled on your behalf to determine whether such action is warranted.
Following the hearing and prior to the proposed effective date, you will be given a copy of the finding(s) and recommendation(s), if any, resulting
from the hearing and be informed in writing of the appointing authority's decision regarding the recommended action(s).
In accordance with paragraph 2(b) of NAC 284.6563, the effective date of your discipline is immediate as noted above. A hearing
in accordance with NAC 284.656 will follow as soon as practicable after the effective date of your discipline.
Note: If you wish to appeal your discipline, please be aware that pursuant to NRS 284.390, an appeal is deemed timely if it is postmarked
within 10 working days after the effective date of the disciplinary action.
The hearing will be conducted by:
at
on___________
Name
Title
Time
Date
at
Location (Include complete address)
Pursuant to NAC 284.656, the hearing process is an informal proceeding between you and the appointing authority or his or her designated
representative. Witnesses are not permitted. Each party may be accompanied by a person of his or her choice. Please refer to NAC 284.656
or direct questions concerning this notice and hearing to the appointing authority, personnel officer, or other agency personnel familiar with
the procedure. (For information regarding the hearing and your right to waive the hearing, you should refer to NAC 284.6561.)
______________________________________________________________________
Signature of Appointing Authority or Designated Representative
Signature of Employee: I understand that by acknowledging receipt of this Specificity of Charges, I am neither admitting guilt nor giving up
any appeal rights I may have under NRS 284.390.
______________________________________________________________________Date
Time_______
Employee's Signature
____________________________________________
_____________________________________________________
Witness' Signature (Required if employee refuses to sign)
Signature and Title (Person serving this notice)
Copy: Division of Human Resource Management
Central Records Service Jacket; Department; Appointing Authority; Employee.
NPD-41 (Rev. 7/14)
STATE OF NEVADA
SPECIFICITY OF CHARGES
Name:
Employee ID#:
Budget Account:
Grade:
Current Class:
Supervisor:
Step:
Division:
Date:
Department:
Section:
Time:
This is to inform you that you are alleged to have violated section 284.650 of the Nevada Administrative Code, as follows:
Date(s)
Violation(s)
A recommendation has been made by:
,
Name
Title
that it is in the best interest of the State of Nevada to take the following disciplinary action(s):
Proposed/Actual Effective Date:
Signature (Person recommending action)
In accordance with NAC 284.656, a hearing has been scheduled on your behalf to determine whether such action is warranted.
Following the hearing and prior to the proposed effective date, you will be given a copy of the finding(s) and recommendation(s), if any, resulting
from the hearing and be informed in writing of the appointing authority's decision regarding the recommended action(s).
In accordance with paragraph 2(b) of NAC 284.6563, the effective date of your discipline is immediate as noted above. A hearing
in accordance with NAC 284.656 will follow as soon as practicable after the effective date of your discipline.
Note: If you wish to appeal your discipline, please be aware that pursuant to NRS 284.390, an appeal is deemed timely if it is postmarked
within 10 working days after the effective date of the disciplinary action.
The hearing will be conducted by:
at
on___________
Name
Title
Time
Date
at
Location (Include complete address)
Pursuant to NAC 284.656, the hearing process is an informal proceeding between you and the appointing authority or his or her designated
representative. Witnesses are not permitted. Each party may be accompanied by a person of his or her choice. Please refer to NAC 284.656
or direct questions concerning this notice and hearing to the appointing authority, personnel officer, or other agency personnel familiar with
the procedure. (For information regarding the hearing and your right to waive the hearing, you should refer to NAC 284.6561.)
______________________________________________________________________
Signature of Appointing Authority or Designated Representative
Signature of Employee: I understand that by acknowledging receipt of this Specificity of Charges, I am neither admitting guilt nor giving up
any appeal rights I may have under NRS 284.390.
______________________________________________________________________Date
Time_______
Employee's Signature
____________________________________________
_____________________________________________________
Witness' Signature (Required if employee refuses to sign)
Signature and Title (Person serving this notice)
Copy: Division of Human Resource Management
Central Records Service Jacket; Department; Appointing Authority; Employee.
NPD-41 (Rev. 7/14)