• Employee Termination Form

• 
  
• Date
• Employee Last Name, First Name
• Department
• Position/Title
• Hire Date*
• Termination Date
• Termination Type*

  Voluntary
  Involuntary
  
• Reason for Termination*
• Is employee eligible for rehire?*

  Yes
  No
  
• Did employee take all personal belongings?*

  Yes
  No, will return for belongings
  
• Company Property Returned:*

  Badge
  Computer/Laptop/Tablet
  Phone
  Vehicle
  Other
  
• List Other property returned.*
• Supervisor Last Name, First Name*
• 
  
• Employee Signature*
• Supervisor Signature*
• Human Resources Signature*