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Notice of Termination Form

Notice of termination forms are used in many instances from termination of employment to termination of tenancy.  Generally, a typical notice of termination is issued a number of days before action is taken.  Here is a sample notice of termination that is sent by a manager to the payroll department after an employee is terminated.

Sample Notice of Termination Form

To: __________________________________ Department: _______________________

Notice is hereby issued to the payroll, benefits and personnel records on the termination of services for _____________________________________________________ (full names)

ID No. _______________ Employment location _________________________________

Social Security Number _______________________ Termination effective ___________

The termination notice was/is issued on _________________________________________

Reasons for termination:

Voluntary ________________________  Involuntary ________________________

Will accept other work ______________  indefinite layoff ____________________

To get married ____________________  temporary layoff ____________________

Domestic responsibilities _____________  Discharge _________________________

Illness ____________________________  Other ____________________________

Comments ________________________________________________________________

_________________________________________________________________________

Would you rehire? Yes _________________ No (explain) _____________________

_________________________________________________________________________

Signatures: ________________________________ Date ________________________

Approved __________________________________ Date ________________________

Reviewed __________________________________ Date ________________________

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