Employee Separation Report Store # Employee Name First Last Effective Date MM slash DD slash YYYY Last Day Worked MM slash DD slash YYYY Type of SeparationResignationDischargeAttend SchoolMovedDishonestyJob AbandonmentMilitaryPoor AttendanceUnacceptable Conduct/PerformanceDiscourtesy to CustomerOther (explain)Complete Details Regarding Termination:Did the employee give notice: Yes No Is employee eligible for re-hire? Yes No Employee Signature Date MM slash DD slash YYYY Manager/Supervisor Signature Date MM slash DD slash YYYY Use Your Browser Back Button to Return to Store Menu
