Termination Form

HR_FOR_17.3

Record an employee termination and the return of company items. Once submitted, this form is sent to HR.

Part A — Employee
Part B — Reason
Part C — Company Items Returned

For each item, record whether it has been returned, the date, who received it and any notes.

Sizing — Polo / Collared Shirt / Jacket: Ladies 6–24 or Males XS–5XL · Pants 77–117. Enter size and quantity for each garment.

Acknowledgement — Manager

Sign in the box below using a mouse or finger. Your drawn signature is accepted as your electronic signature.

Submitted by

Identify yourself so HR knows who submitted this form.

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