About The Information Provided Here
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:
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Employee Termination Statement: I have resigned for the following reasons:
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Employee Signature:_____________________
Date:__________________
Employer/Supervisor Signature:_____________________
Eligible for Rehire? ____ Yes ____ No
Additional details and comments:
________________________________________________________________________
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