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5) Employee Termination Notice

 

Employee Name:______________________

Date:_________________

Termination Effective Date:_________________

Reason for Termination:

____ Voluntary (resigned)

____ Involuntary (fired)

____ Released

____ Laid Off

____ Other.

The employee listed above is no longer employed and has been informed of this.

Additional details and comments:

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

Employee Termination Statement: I have resigned for the following reasons:

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

 

Employee Signature:_____________________

Date:__________________

 

Employer/Supervisor Signature:_____________________

Eligible for Rehire? ____ Yes ____ No

Additional details and comments:

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

 

 

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