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Letter of Termination PDF
Letter of Termination
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Whose name is on the letter terminating your employment?
Name
Who is the person whose employment is being terminated?
Name
What position does the individual losing their job hold?
Job title
What is the current address of the person being fired?
Home address
City
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
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Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
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Nebraska
Nevada
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New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip code
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What is the name of the business that is drafting the letter of termination?
Name
When will the employee receive the letter of termination?
Date
MM slash DD slash YYYY
When does the dismissal take effect?
Date
MM slash DD slash YYYY
Which factors led to the employee's termination?
Termination Reason
Repeatedly tardy
Repeatedly absent
Poor performance
Force reduction
Layoff
Other
Please Explain
Please provide any additional information regarding the termination reasons.
Additional notes
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What was the deadline for the employee to raise their performance?
Were written warnings given?
Yes
No
How many written warning's given?
1
2
3
Warning Date #1
MM slash DD slash YYYY
Warning Date #2
MM slash DD slash YYYY
Warning Date #3
MM slash DD slash YYYY
Performance improvement date
MM slash DD slash YYYY
What attachments will the letter of termination contain?
Enclosures included
Who is the employee's manager's name?
Name
Manager's Signature
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Accepted file types: jpg, jpeg, png, pdf, Max. file size: 2 MB, Max. files: 1.
That is the agent who is authorizing the dismissal?
Name
Authorizer's Signature
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Draw Signature
Upload Signature
Draw Signature
Upload signature
Drop files here or
Select files
Accepted file types: jpg, jpeg, png, pdf, Max. file size: 2 MB, Max. files: 1.
To appeal the dismissal, who should the employee speak with?
Name
By what date must the appeal be filed?
Date
MM slash DD slash YYYY
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