• 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*