Printable Employee Termination Form
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Download Printable Employee Termination Form
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- Language: English
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How to create an Employee Termination Form? What documentation do I need to terminate an employee? Download this printable Employee Termination Form template now!
We support you and your company by providing this Printable Employee Termination Form HR template, which will help you to make a perfect one! This will save you or your HR department time, cost and efforts and help you to reach the next level of success in your work and business! Consider the following topics in your termination form:
- Personal information
- Benefit of choice
- Increasing of pension
- Signatures
Employer Information Company/Group Name:
Group Contact Person: CoPower ID : Contact E-mail: Contact Phone Number: Date: Employee Termination Information Employee Name (last, first): Social Security Number: Qualifying Event Date/Last Date of Employment: Mailing Address (Mandatory for Cal-COBRA Groups): City: State: Zip: Reason for Termination Voluntary termination of employment Deceased (provide date of death) Obtained other coverage or covered through spouse Expired COBRA coverage Voluntary termination of coverage Enrolled in error Involuntary termination of employment Gross Misconduct (not COBRA eligible) Reduction of hours Group Open Enrollment Leave of absence or medical leave Other (please explain below) Divorce Comments (if “Other” please explain): Plan coverage to terminate: CoPower ONE Dental Vision Basic Term Life and AD D Voluntary Life and AD D Life and AD D benefits are not...
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