Termination Report
First Name:
*
Last Name:
*
Job Title:
*
Department:
*
Start Date:
*
End Date:
*
Type of Termination:
*
Type of Termination
Voluntary Termination Reason (check all that apply):
Accepting another job
New job offers greater compensation
New job offers greater responsibility or autonomy
Dissatisfaction with supervisor or co-workers
Employee health, including pregnancy
Family health, including childcare
Education
Relocation
Retirement
Other
If Other, please describe (Voluntary Termination Reason):
Involuntary Termination Reason (Please provide documentation for any involuntary termination):
Substandard Performance
Continued Poor Attendance
Insubordination
Rudeness to Customers/Coworkers
Layoff
Position Eliminated
Temporary or seasonal position
Violation of Policy
Other
If "Violation of Policy", please describe ( Involuntary Termination Reason):
If "Other", please describe (Involuntary Termination Reason):
Would you rehire this individual?
*
If Not Re-Hirable, please describe in notes)
Please write a brief narrative:
*
Please also attach any evidence that you have:
Time Logs, Resignation Letters, Warnings
PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF
Date
*
Manager's Name:
*
Signature
*
Clear
Submit
