Below is the  Post-Employment Information Release Agreementtemplate body. If necessary, please put the personal information, company information, such as text to replace the specific content you need. you can download the .doc template file on the end of the article by click download link. 

SEPARATION AND RELEASE AGREEMENT



This Separation and Release Agreement ("Agreement") is made and effective this [DATE],


BETWEEN:  [EMPLOYEE NAME] (the "Employee"), an individual with his main address at:[COMPLETE ADDRESS]


AND:  [YOUR COMPANY NAME] (the "Company"), a corporation organized and existing under the laws of the [State/Province] of [STATE/PROVINCE], with its head office located at:[YOUR COMPLETE ADDRESS]


NOW, THEREFORE, in consideration of the mutual covenants set forth herein and intending to be legally bound, the parties hereto agree as follows:

TERMS

The Employee hereby authorizes Company to release information to prospective employers regarding his employment with this company, including but not limited to, dates of employment, salary history, employment history, disciplinary actions, attendance record, performance, and employment related documents.  

The Employee hereby releases his former and prospective employers, their employees, agents, officers, directors and affiliates from any and all liability for damages of whatever kind, which may at any time result to Employee, his family or associates, because of compliance with this authorization and request to release information or any attempt to comply with it. 

This release is executed with full knowledge and understanding that the information to be provided is for the sole purpose of gaining employment, and shall remain in effect until such time as the Employee withdraws said release in writing to the [YOUR COMPANY NAME] above.


COMPANY            FORMER EMPLOYEE



                          
Authorized Signature  Authorized Signature

                          
Print Name and Title          Print Name and Title


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