Employment Termination Form
Manager's Name
*
First Name
Last Name
Employee's Name
*
First Name
Last Name
Last Day
*
-
Month
-
Day
Year
Date
Was this a Termination or Resignation?
*
Termination
Resignation
Department
*
Please Select
Design
Lead Setting
Installation
Operations
Warehouse
National Accounts
Is Payroll Approved?
*
Yes
Have all company supplied materials been returned?
*
Yes
No
What is the plan for returning company supplied materials and what date?
*
1. Type of Corrective Action?
*
1. Date of Corrective Action
*
-
Month
-
Day
Year
Date
2. Type of Corrective Action?
2. Date of Corrective Action
-
Month
-
Day
Year
Date
3. Type of Corrective Action?
3. Date of Corrective Action
-
Month
-
Day
Year
Date
Submit
Should be Empty: