Employee Termination Form - DOC by pellcity27

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Termination of an employee for discriminatory reasons, such as losing a job on the basis of race, color, national origin, sex, religion, disability, pregnancy, or age is covered under federal and state antidiscrimination laws such as the Civil Rights Act of 1964, the Americans with Disabilities Act (ADA), the Pregnancy Discrimination Act, or the Age Discrimination in Employment Act (ADEA). In the absence of an existing law, employment contact, or collective bargaining agreement to the contrary, employment relationships are generally considered to be employment-at-will. Both the employer and employee are free to terminate the employment relationship at any time, without notice, and for good reason, bad reason, or no reason at all.

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									                             EMPLOYEE TERMINATION FORM

Name of Employee: ____________________________

Social Security Number of Employee: _________________________________

Last Day Worked: __________________ Termination Date: _________________

Reason for leaving (Mark Only One):

[   ] Voluntary Resignation (Have employee complete resignation form)
[   ] Retirement      [   ] Temporary Layoff      [   ] Permanent Layoff
[   ] Dismissal       [   ] Job Abandonment       [   ] Other


Explanation. Please be as detailed as possible. _______________________________

______________________________________________________________________

______________________________________________________________________

If there were multiple reasons, what was the final incident that resulted in termination?

______________________________________
								
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