IBEW LOCAL 234
747 El Camino Real Salinas, CA 93907
831-633-2311
Contractor Layoff or Termination Notice
Date of Termination
*
-
Month
-
Day
Year
Date
Employee Name:
*
Employee First Name
Employee Last Name
Classification:
*
Employee has been terminated as of this date for the following reason set forth below:
*
Quit
Cause
Short Call
Reduction of Work Force
End of Job
JATC Rotation
Acceptable for re-hire by your firm:
*
Yes
No
Firm Name:
*
Submitted by:
*
First Name
Last Name
Email
*
example@example.com
General Comments:
Submit
Should be Empty: