Taxi Driver Termination Form 

This form is to be submitted within 2 working days of the dismissal of any driver and the reason for termination (NAC 706.477).

Within 5 working days after the end of each month, each certificate holder shall also provide the Authority with a list of all drivers whose employment was terminated during the month (NAC 706.477). This list is to be submitted as an attachment in an email to

Date:  [None] Select a Date Delete the Date

Company Name: 

Name of Driver: 


Date of Termination:   [None] Select a Date Delete the Date

Last Day Worked:   [None] Select a Date Delete the Date

Reason for Termination: