Job Separation Notice



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Vacation, Severance, Dismissal, Bonus, Holiday Pay Information Hourly Rate of Pay Voluntary Leaving (Quit) Discharged (Fired) Hrs Worked per Week Vacation/Accrued Leave – Not PTO Hrs Leave of Absence Severance/ Dismissal Hrs Not Physically Able to Work Bonus Hrs Holiday Pay Hrs Wages in Lieu of Notice Hrs Lack of Work (Reduction in Force) School Employee Contract Refused Other Suitable Work Labor Dispute/Union Strike Retirement 4.. Under the Louisiana Employment Security Law, you may be disqualified for benefits, if it is determined that: You left your work without good cause attributable to a substantial change with your employment, or You were discharged for misconduct connected with your work, or You failed to accept suitable work when offered or to apply for available suitable work, when so directed by the Administrator or the employment office, or You were taking part in a labor dispute in the establishment in which you were employed, or you were seeking unemployment compensation benefits under any other State or Federal Law..

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