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Employee Termination Form
I. Employee Information
(To be completed by Manager/Supervisor)
Name
*
First Name
Last Name
Job Title
*
Department/Location
*
Separation Date
*
-
Month
-
Day
Year
Date
Reason for separation
*
Resigned
Walk Off
Excessive Absenteeism
No call no show
Insubordination
Misconduct
Performance
Company Policy Violations
Retired
Layoff
Within 90 days
Other
Status
*
Full-Time
Part-Time
Was this a involuntary termination? (decision made by employer not employee)
*
Yes
NO
Separation Details
*
Upload Supporting Documents
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Would you rehire?
*
Yes
No
I have reviewed, adjusted and approved employees timecard in Paycom
*
Check if complete
Salary Not Applicable
Did the employee have a lease with Reep Residential?
*
Yes, employee lease needs to be terminated
No, employee does not have a lease with Reep Residential
Name of the property employee lives at?
I have collected the following company property if applicable
Laptop, power cord and log in
Office Keys
Ramp Card
Panic Tap
Uniforms
The following Company property needs to be returned or dedcuted from final pay
Does the employee have any outstanding balances to be deducted from final pay?
II. Employer Information
(To be completed by Manager/Supervisor)
Manager/Supervisor Name
*
First Name
Last Name
Email
*
example@example.com
Comments/Remarks
Manager/Supervisor Signature:
*
Employee Signature:
Date
*
-
Month
-
Day
Year
Date
Forwarding Address:
III. HR & Payroll
(To be completed by the HR and Payroll)
Benefits
HR Check List
Complete personal action form
Upload Termination Form
Process Termination in Paycom
Request Resman Access
Disable Email
Disable Open Path
Send benefit terminaton notifications
Send For Cobra
Remove from Facebook and inform Marketing
Request remove from immediate pay
Comments/Remarks
Print Form
Save
Continue
Continue
Should be Empty: