Please be advised that the following employee has been separated from employment with our company:
Company Name:
Employee Name:
Social Security #:
Date of Separation:
Reason for Separation:
Lack of Work / Lay Off
Discharge / Termination
Resignation (with notice)
Resignation (without notice)
Leave of Absence
FMLA
Other
Comments:
Please be sure to advise Callos on the employee’s final hours report of any additional compensation beyond standard wages through the above noted separation date, such as severance pay, vacation pay, unused sick time compensation, etc.
Client Signature:
Date:
