Employee Separation Form - Printable PDF | Hiring Forms
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Employee Separation Form - Printable PDF

A0397

Record the essential details with a ComplyRight™ printable employee separation report

When an employee quits, is laid off or retires it's important to document all the facts. Make the Printable Employee Separation Report part of your separation process to get all the details in writing - and to ensure your company is protected.

$19.99

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  • Allows opportunity to capture key information, including separation reasons, final pay, COBRA rights and retirement savings distribution options
  • Printable format provides access to your separation report minutes after checkout
  • Includes free employee separation report tip sheet
  • Upon completion of your order, you can access your printable product from the Manage My Downloads section
    in your account
  • Please note that printable forms are not returnable

Old Item # AH0397

When an employee decides to end employment, it’s important to document his or her true reason for leaving because:

  • You may need the information to prepare a legal defense in case of a challenge.
  • You may need the information if you wish to contest unemployment compensation.
  • If more than one employee leaves, you may want to know the reason behind the pattern to determine what you can do to prevent more turnover


If you have 100 or more full-time employees or 100 or more employees (including part-time employees) who work a total of 4,000 hours each week, you may be covered by the WARN Act (Worker Adjustment and Retraining Notification Act), which was designed to give employees notice of layoffs. Covered employers are required to provide 60 days’ notice of qualifying plant closings and/or mass layoffs to employees and the local government.