Employee Termination Form

Employee Termination Form
I. Employee Information

(To be completed by Manager/Supervisor)
Name*

First NameLast Name
Job Title*
Department/Location*
Separation Date*

MonthDayYear
Date
Status*

Full-TimePart-Time
Was this a involuntary termination? (decision made by employer not employee)*

YesNO
Reason for separation*

ResignedWalk OffExcessive AbsenteeismNo call no showInsubordinationMisconductPerformanceCompany Policy ViolationsRetiredOther
Separation Details*
Upload Supporting Documents

Cancelof
Would you rehire?*

YesNo
I have reviewed, adjusted and approved employees timecard in Paycom*

Check if completeSalary Not Applicable
Did the employee have a lease with Reep Residential?*

Yes, employee leaese needs to be terminatedNo, 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 inOffice KeysRamp CardOffice KeysPanic TapUniforms
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 NameLast Name
Email*
example@example.com
Comments/Remarks
Manager/Supervisor Signature:*

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Employee Signature:

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Date*

MonthDayYear
Date
Forwarding Address:
III. HR & Payroll

(To be completed by the HR and Payroll)
Benefits
HR Check List

Complete personal action formUpload Termination FormProcess Termination in PaycomRequest Resman AccessDisable EmailDisable Open PathSend benefit terminaton notificationsSend For CobraRemove from Facebook and inform MarketingRequest remove from immediate pay
Comments/Remarks
Should be Empty:

Employee Termination Form

I. Employee Information

II. Employer Information

III. HR & Payroll