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

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Employee Acknowledgement:

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

Clear
Date

MonthDayYear
Date
Manager Signature*

Clear
Date*

MonthDayYear
Date
Should be Empty: