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Priority Number

Separation Notice

A0373

Ensure accuracy when employees leave

Completing the Separation Notice satisfies all the documentation needed when an employee resigns, is laid off or retires. The checklist covers critical issues that must be discussed with an employee upon separation from employment. Completion of this form starts the process for COBRA (Consolidated Omnibus Budget Reconciliation Act) and issuance of final pay.

  • Walks you through the separation process and ensures you have all the necessary documentation.

Product Specifications:

  • Prices listed are per pad per package.
  • 50 sheets/pkg.
  • Size: 8 1/2" x 11"

    A0972