Hundreds of jobs could move to Derry, Omagh and Coleraine from Greater Belfast in a huge decentralisation of Northern Ireland's public sector.
An independent review, by Professor Sir George Bain, said the relocation would create a "better economic balance'.
The report said up to 5,000 jobs should be moved from Belfast, with the north west a key relocation target.
Sir George said an improved geographical spread would bring economic benefits.
"Our primary consideration is better regional economic balance, to ensure and sustain employment over time to create a coherent career structure for public servants in local areas.''
He said that any relocation should be introduced on a phased basis.
"Implementing our recommendations will be challenging and require strong leadership but I believe that by doing so we will help to enhance the sustainable economic and social development of Northern Ireland," he added.
"We believe that these locations and organisations provide this not only for the towns and cities selected but, importantly, the surrounding areas."
The Review recommends decentralisation to six locations
Foyle MLA Martina Anderson said the report was a real boost for the north west.
"I welcome the fact that this is acknowledging regional disparities.
"There are hundreds of civil servants leaving Derry every day and travelling up the road.
"This is about planning for the future and it's about smart business and smart politics," she said.
Ms Anderson also said she intends to lobby government ministers to make sure jobs are allocated to Derry.
Finance and Personnel Minister Nigel Dodds said he wanted to get the executive's views on the recommendations.
"There are a number of detailed suggestions contained in the report that will need careful examination and consideration before decisions on a way forward can be reached."
The organisations which could be relocated include the Victims and Survivors Commission; Charities Commission; Education and Skills Authority Headquarters; the Northern Ireland Environment Agency and Northern Ireland Water.
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