Employee Termination Agreement and Mutual Release Form
Use this form to document an employment termination agreement, mutual release acknowledgment, and final signatures.
Employee and Employment Details
Employee full name
*
First Name
Middle Name
Last Name
Employer / company name
*
Job title or department
*
Termination and Agreement Details
Termination Effective Date
*
-
Month
-
Day
Year
Date
Separation Reason
*
Resignation
Layoff
Position Elimination
Performance-Related Termination
Mutual Agreement
Other
Severance or Settlement Details
Return of Property and Final Pay Confirmations
All company property returned
Final pay received or will be handled according to agreement
Access credentials and company accounts returned
Other
Signatures
Employee Signature
*
Employee Signature Date
*
-
Month
-
Day
Year
Date
Employer Representative Signature
*
Employer Representative Signature Date
*
-
Month
-
Day
Year
Date
Submit
Submit
Should be Empty: