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TERMINATION NOTICE 

Employee Name:

 

Social Security Number:

______ - ____ - _______

Employee ID #:

 

Home Address:

 

Job Position:

Department:

 

 The above named employee has been terminated from employment with Company Name, effective: 

                                                                                                                                               

Reason For Termination:

 ___ Resigned (Attach resignation letter)

___ Discharged

___ Retirement

___ Death

___ Transfer to other department

___ Other __________________

Brief Explanation:

_________________________________________________________________________
_________________________________________________________________________

Company Name representatives signature:                                                                                 

Company Name representatives title:                                                       Date: