• Employee Resignation Form

• 
  
• Employee Last Name, First Name*
• Employee ID#
• Department*
• Position*
• Employee Email*
• Phone

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• Supervisor*
• Supervisor Email*
• Phone

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• 
  
• I hereby tender my resignation, effective on:*
• Resignation Reason* Select Acccepted position with new employer Returning to school Medical reasons Military obligations Family obligations Transportation issues Transferring from area Position was temporary Dissatisfied, no new position lined up Personnel issues
• For work issues, have you approached Human Resourses for assistance?

  Yes
  No
  
• Comments:
• 
  
• Employee Signature*
• Date*

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• Supervisor Signature*
• Date