Off Boarding - Termination Form
(Voluntary or Involuntary)
Location
*
Please Select
RollHouse Columbus
RollHouse Dayton
RollHouse Fairfield
RollHouse Mentor
RollHouse North Olmsted
RollHouse Parma
RollHouse Solon
Game Entertainment Management
Type of Termination
*
Voluntary
Involuntary
Date form is being filled out
*
-
Month
-
Day
Year
Date
Person completing form
*
First Name
Last Name
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TERMINATION INFORMATION – Voluntary
Employee - Voluntary
*
First Name
Last Name
Two Weeks Notice Given
Yes
No
Voluntary Resignation Form
Yes
No
Voluntary Resignation Upload
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Last Day Worked
*
-
Month
-
Day
Year
This must not be left blank.
Would you Rehire
*
Yes
No
If no, why would you not rehire
Any other supporting documentation (Example: texts, emails, etc)
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Reason for Leaving
*
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TERMINATION INFORMATION - Involuntary
Note – HR should be called for serious violations
Employee - Involuntary
*
First Name
Last Name
Performance Report completed:
Yes
File Upload
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Did Employee sign:
Yes
No
Last Day Worked
*
-
Month
-
Day
Year
This must not be left blank.
Shifts that were missed (No Call/No Show please list all, If applicable)
What attempts were made to contact employee and by whom with dates and times (if applicable)
Manager delivering the termination, must be two members of management during termination
*
First Name
Last Name
Other Management present
*
First Name
Last Name
Describe in detail why the employee is being terminated:
*
Any other supporting documentation (Example: previous Employee Performance Reports, texts, emails, reports, security footage, etc)
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Please summarize the conversation with the employee when the termination was delivered. What was said, what the employee said, etc.
*
This must not be left blank.
Note: When send over Involuntary paperwork please include a summary of the conversation with the employee when delivering termination. Any previous Coaching Forms or Employee Performance Awareness Reports need to be sent with any Involuntary Termination paperwork.
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Department Issues
Center/HR Itemes to be addressed
Completed
Not Applicable
Termination paperwork completed and scanned (including all supporting documents)
Signed Resignation form / letter from employee
Termination security footage (if appliable) sent to HR
Laptop, does it need to be returned
Keys, do they need to be returned.
Ramp card returned
Terminated in Newport (401k)
Information Technology Issues
Removed from Sync POS access
Requested
Completed
Not applicable
Remove email address - notify password change to appropriate person
Requested
Completed
Not applicable
Remove alarm code access
Requested
Completed
Not applicable
Remove access to Google Drive (any shared files)
Requested
Completed
Not applicable
Square - Deactivated
Completed
Not applicable
Marketing Issues
Remove from Triple Seat
Requested
Completed
Not applicable
Accounting Issues
Ramp card access changed if virtual / comfirm live card returned
Requested
Completed
Not applicable
Remove from QuickBooks access
Requested
Completed
Not applicable
Signature
Submit
Should be Empty: