HTML Preview Employee Separation Notice page number 1.
Employee Termination/Separation Notice
Employer/Company:
Please be informed that as of (Effective Date) the below employee is no
longer working for the above Employer/Company.
Employee Name Employee Social Security Number
Type and Reason for Termination/Separation
(Please check all that apply)
Voluntary Termination:
Another Job No Call, No Show Personal Reasons
No Notice Given Walk Out Relocated/Moved
Unknown Other:
Involuntary Termination:
Replaced/Not a Good Fit Lack of Work/Lay Off Insubordination
Theft Position Eliminated Positive Drug Screen
Failure to Perform Job Duties Time Theft Company Closed
Excessive Absenteeism/Tardiness Falsification of Records Deceased
Administrative Termination Other:
Explanation or Additional Comments:
Date Authorized Signature Title
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