Employee Separation Form

Employee Separation Form
Please fill-up the form accordingly. If you have any questions, please contact (123) 123-4567 or email us at info@email.com.
I. Employee Information
(To be filled out by the Employee)
Name
First NameLast Name
Job Position
Department
Employee ID
Email
example@example.com
Phone Number
Format: (000) 000-0000.
Status
Separation Date
MonthDayYear
Date
Reason for separation
Other
More details about the separation
II. Employer Information
(To be filled up by the Manager/Supervisor)
Manager/Supervisor Name
First NameLast Name
Phone Number
Format: (000) 000-0000.
Email
example@example.com
When was the notice of resignation received?
MonthDayYear
Date
Comments/Remarks
Manager/Supervisor Signature: By signing below, you are accepting the resignation of this employee
Clear
III. HR & Payroll
(To be filled out by the HR and Payroll)
Number of leaves available for credit
Please upload the final time sheet to be credited for final pay
Cancelof
Would you rehire?
Final pay will be credited via
Other
Comments/Remarks
HR Officer Signature
Clear
Payroll Officer signature
Clear
Should be Empty:

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I. Employee Information