Employee Termination Form

Employee Termination Form
Today's Date

MonthDayYear
Date
Employee Name
Manager Name
Termination Date

MonthDayYear
Date
Last Date Worked

MonthDayYear
Date
Reason for Termination of Employment
Disciplinary Action(s) Prior to Termination
Is employee eligible for rehire?
How and when did the employee inform you of their decision to resign from their position?
Did employee return badge and shirt?
If not, what items do they still have:
Explanation:
File Upload

Cancelof
Employee Acknowledgement:

My signature indicates that this notice has been discussed with me and that I understand it's contents.
Employee Signature
Date

MonthDayYear
Date
Manager Signature
Date

MonthDayYear
Date
Should be Empty: