Reduction in Force Separation Notice
Please complete this form to officially document and communicate an employee separation due to a reduction in force.
Employee Full Name
*
First Name
Last Name
Employee ID
*
Department
*
Please Select
Human Resources
Finance
Engineering
Sales
Marketing
Operations
Other
Job Title
*
Manager/Supervisor Name
*
First Name
Last Name
Notification Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Last Working Day
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Reason for Reduction in Force
*
Please Select
Position Eliminated
Department Restructuring
Budget Constraints
Business Closure
Other
Separation Benefits Provided
Severance Pay
Health Benefits Extension
Outplacement Services
None
Other
Company Property to be Returned (check all that apply)
Laptop/Computer
Mobile Phone
Access Card/Badge
Keys
Documents/Files
Other
Additional Comments or Instructions
Employee Signature
*
Submit Separation Notice
Submit Separation Notice
Should be Empty: