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Employee Termination Form

The termination form provides information about an employee who is being terminated including their name, employment details, reason for termination, and supervisor's evaluation. The employee is being terminated due to low attendance, having failed to report to work for a certain number of consecutive days. The form collects information about the termination such as the termination date, notice period, severance pay if applicable, and signatures.

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anjali mishra
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63 views2 pages

Employee Termination Form

The termination form provides information about an employee who is being terminated including their name, employment details, reason for termination, and supervisor's evaluation. The employee is being terminated due to low attendance, having failed to report to work for a certain number of consecutive days. The form collects information about the termination such as the termination date, notice period, severance pay if applicable, and signatures.

Uploaded by

anjali mishra
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Termination Form & Termination Letter

EMPLOYEE INFORMATION
Employee Name: Employee ID:

Employment Status: ☐Full Time ☐Part-Time ☐Contractual

Complete Address:

City: State: ZIP Code:

Contact Number: Email ID:

EMPLOYEE TERMINATION FORM

Termination Type: (Check One) ☐Voluntary ☐Involuntary


Supervisor’s Name: Click here to enter response.
Termination Effective From: Click or tap to enter a date.
Number of hours usually worked: Per day _____ Hours Per Week _____ Hours
Employment Duration in the Company: ______ Months
Employed From Click or tap to enter a date. To Click or tap to enter a date.
Reason for Termination/Separation:
☒ Low Attendance/Failed to report to work for ___ consecutive days.
☐ Indefinite Layoffs
☐ Employee Quit with verbal/written notice.
☐ Contract Expiration
☐ Employee dismissed because (Reason): Click here to enter response.
☐ Other (Explain): Click here to enter response.

Employee Evaluation
(Tick Appropriate Column)
Unsatisfactory Fair Satisfactory Good Excellent

Attendance
Work Quality

Competencies
Job Knowledge

Initiatives
Rehire Considerations: ☐ Would Not Recommend ☐ Recommend Consideration

Notice Period ☐Yes ☐No If Yes, Number of Days: _____

Severance Pay: ☐Yes ☐No If Yes, Amount: ____________

Other Comments: Click here to enter response.

Authorized Signature: Date:

__________________ Click or tap to enter a date.

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