Termination/Resignation Form

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Termination Form
Employee

First NameLast Name
Employee Name
Manager Filling Out Report
Terminating Manager
Date of Termination

MonthDayYear
Date
Termination Type
Date of Notice from Employee

MonthDayYear
Date of Resignation Letter
Date of Last Communication

MonthDayYear
Date
Date of Last Shift Worked

MonthDayYear
Date
Dates of Missed Shifts (select all applicable)
Dates of Missed Shifts (add all applicable)
Relevant Information including final issue
Relevant Notes/Communication with Employee - Attach File

Please include all communication regarding warnings, notice, etc. relevant to the termination.
Cancelof
Details of Termination including final issue
Should be Empty: