This Notice of Dismissal of Employee is used by employers located in Pennsylvania 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.
Notice of Dismissal This form is a Notice of Dismissal of Employee which spells out the reasons ocstoc Legal Agreements for termination of the Employee. Date of final paycheck is noted. Employee is told to report discuss insurance and accrued benefits, if any, with the appropriate authorities. All other benefits to which the Employee is entitled to may be paid in accordance with company policy. ALL INFORMATION AND FORMS ARE PROVIDED “AS IS” WITHOUT ANY EXPRESS OR IMPLIED WARRANTY, INCLUDING AS TO LEGAL EFFECT OR COMPLETENESS. They are for guidance and should be modified by you or your attorney to meet your specific needs and the laws of your state. Use at your own risk. Docstoc, its employees or contractors who wrote or modified any form, are NOT providing legal or any other kind of advice and are not creating or entering into an Attorney-Client relationship. The information and forms ® are not a substitute for the advice of your own attorney. 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Entire document © Docstoc, Inc., 2010, 2011 Attorney Drafted © Copyright 2011 Docstoc Inc. registered document proprietary, copy not 1 NOTICE OF DISMISSAL _____ [Month] _____ [Date], 20_____ ________________________ [Instruction: Insert the employee name] ________________________ [Instruction: Insert the company] ________________________ [Instruction: Insert the employee address] Dear [Employee]: 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 provided space] 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] [◊two (2)] weeks of pay in lieu of notice of termination as per our obligations under the Pennsylvania Code. (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 immediately. 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. (IF APPLICABLE) We wish to amicably and completely bring closure to your employment and to assist you in this transition. We are therefore prepared to offer you an additional ___________ (___) [◊two (2)] weeks of termination pay, to be paid to you in a lump sum, less applicable statutory withholdings. Please note that this offer is conditional upon you keeping its terms strictly confidential, with the exception of your legal counsel. This offer will remain in force for your consideration until _____ [Month] _____ [Date], 20_____ If the terms of this separation offer are acceptable to you, please sign below and attach a signed and witnessed copy of the attached Release Form as Exhibit A. When you have signed, the © Copyright 2011 Docstoc Inc. registered document proprietary, copy not 2 terms of this letter will become a binding agreement upon you and ________________________ [Instruction: Insert the company]. We deeply regret the need for this action. Sincerely, ___________________________________ [HR Representative] cc: [List carbon copy name(s)] © Copyright 2011 Docstoc Inc. registered document proprietary, copy not 3 EXHIBIT A RELEASE FORM © Copyright 2011 Docstoc Inc. registered document proprietary, copy not 4 Note: Carefully read and follow the Instructions and Comments contained in this document for your customization to suit your specific circumstances and requirements. You will want to delete the Instructions and Comments from open bracket (“[“) to close bracket (“]”) after reading and following them. You (or your attorney) may want to make additional modifications to meet your specific needs and the laws of your state ◊Where within this document you see this symbol: ◊ or an instruction states “Insert any number you choose◊,” or something similar, or there is a blank for the user to complete, please note that although Docstoc believes the information or number may be any that the user chooses, and that there is no law governing what the information or number should be, you might want to verify this, including by consulting with your own attorney practicing in your state, and be reasonable. INFORMATION AND FORMS ARE PROVIDED "AS IS" WITHOUT ANY EXPRESS OR IMPLIED WARRANTY OF ANY KIND INCLUDING WARRANTIES OF MERCHANTABILITY, NONINFRINGEMENT OF INTELLECTUAL PROPERTY, OR FITNESS FOR ANY PARTICULAR PURPOSE. IN NO EVENT SHALL DOCSTOC, INC., OR ITS AGENTS, OFFICERS, ATTORNEYS, ETC., BE LIABLE FOR ANY DAMAGES WHATSOEVER (INCLUDING, WITHOUT LIMITATION, DAMAGES FOR LOSS OF PROFITS, BUSINESS INTERRUPTION, LOSS OF INFORMATION) ARISING OUT OF THE USE OF OR INABILITY TO USE THE MATERIALS, EVEN IF DOCSTOC HAS BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES. Your use of this document is deemed to be your agreement to the foregoing, the disclaimers on the cover page, and that you have read and agree to our Terms of Service (http://www.docstoc.com/popterm.aspx?page_id=15), as well as our disclaimer that Legal information is not legal advice, and the important content available here: Read More (http://www.docstoc.com/popterm.aspx?page_id=114) © Copyright 2011 Docstoc Inc. registered document proprietary, copy not 5 5
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