Docstoc Legal Agreements
This Notice of Dismissal of Employee is used by employers located in Indiana to notify an
employee that he or she is being terminated and sets forth the reasons for the termination.
The notice contains information regarding the employee's regular pay, termination payment
and any benefits to which the employee is entitled. This document contains the necessary
information for a notice of dismissal and may be customized to fit the needs of the drafting
party. A general release should accompany this notice to protect the employer from any
future litigation arising from the terminated employee's employment.
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NOTICE OF DISMISSAL
_____ [Month] _____ [Date], 20_____
________________________ [Instruction: Insert the employee name]
________________________ [Instruction: Insert the company]
________________________ [Instruction: Insert the employee address]
We regret to notify you that your employment with the firm shall be terminated on _____
[Month] _____ [Date], 20____, because of the following reasons:
[Instruction: Please detail the reasons for the termination of the employee in above
You will receive your regular pay up to and including today, _____________ [Date].
(IF APPLICABLE) You will receive an additional _____________ [Comment: this will
depend upon the Record] number of week’s pay in lieu of notice of termination as per our
obligations under the Indiana Code, Title 22 - Labor and Safety.
(IF APPLICABLE) Your entitlement to our group health benefits program will continue during
your notice period, with the exception of [depends on the plan], which ceases effective
You will receive a further payment which will represent your accrued and owing vacation pay.
These payments together with your record of employment will be delivered to you within
___________ (___) [◊ten (10)] days of today’s date.
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