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TERMINATION OF EMPLOYEMENT WORKSHEET



EMPLOYEE NAME:              

DATE OF TERMINATION:           


The following items should be checked off prior to an employees final date of employment. Not all items will apply to all employees or all circumstances.  Place the completed form in the employees personnel file.


Actions
Done

Termination Notice


Meet with the employee in a private, neutral location, such as a conference room or closed office, to minimize their embarrassment or discomfort.


Inform the employee why they are being fired or laid off.


Explain when the termination will be effective. If today is the employee's last day, outline the procedures for exiting the premises. If the employee will remain at the company for a set period of time, tell them what is expected of them during the transition period.


Give the employee a termination letter that documents their last day, outlines the reasons they are no longer working for the company, and provides information about severance benefits and other termination details.



Insurance and Benefits


Disclose the date that the employee's medical, dental, vision, life and long-term disability insurance coverage will end.


Explain COBRA, the federal act that provides employees who experience a "qualifying event" (such as a termination) with the right to continue their current group insurance coverage.


Give the employee a written statement that explains when their benefits will terminate, outlines COBRA law, lists monthly premiums and provides enrollment information.


Provide a closing statement with information about the company's stock option, profit sharing and/or employee stock-ownership program. The statement should show how many shares the employee has vested, the price per share and the deadline for exercising the shares.


Give the employee documentation about their 401(k) or retirement savings plan. Make sure it spells out when company contributions to the plan will end, explains rollover options and contains contact information for the plan administrator.



Settlement and Arbitration Agreements


Ask the employee to sign an arbitration agreement that states that all controversies and employment-related disputes will be resolved through arbitration and not litigation.


If you're concerned about possible litigation, ask the employee to sign a settlement agreement. By signing such a document, the employee releases any claims against the company in exchange for payment. (Consult your attorney or an employment-law specialist to determine if a settlement agreement is necessary.)


Give the employee photocopies of the signed agreements or ask them to sign duplicate copies.



Paycheck, PTO Payout and Severance


If today is the employee's last day, give them their final paycheck along with a check for accrued vacation or paid time off (PTO).


Discuss any severance the employee will receive and explain how it will be paid out.


Severance Pay and General Release agreement offered.


Give the employee a letter that explains the terms of the severance package.



Company-Owned Equipment


Computer
Company software returned


Company cellular phone returned


Company pager returned


Company credit card returned


Company phone card returned


Employee identification card returned


Building/office keys and access cards


Parking permit or garage key


Bank depository keys


Uniforms


Company vehicles returned


Have the employee sign a document that states that they have returned all company property



Expense and Transition Reports


Instruct the employee to complete a final expense report and submit it on or before their last day


If the employee will remain at the company for a set period of time, ask them to provide a transition report that details the projects they're working on.



Exit Interview and Employee Assistance


Conduct an exit interview (if appropriate) to learn from the employee's experience at the company


Ask the employee if they have any questions or final comments


Discuss any outplacement services or employee assistance the company will offer


Exit interview given


Exit interview prepared



Office Operations


Discontinue the employee's email account and network access


Change sensitive access codes, including bank PINs and security codes


Cancel phone and voicemail accounts


Change locks


Cancel appropriate magazine, newsletter and newspaper subscriptions



Staff Notification


Notify employees, clients and vendors about the termination and tell them who will handle the terminated employee's responsibilities


Answer questions and concerns your staff has about the termination without disclosing any sensitive information or infringing on the terminated person's privacy


Human Resources, Payroll and Security Departments have been notified of employees departure


Final expense report received, reviewed and approved, expense check prepared


Final check prepared (includes all vacation pay, sick pay, accrued wages, bonuses, etc.)


Notice of unemployment rights provided


Termination Certification signed


Profit sharing election forms provided.


Company documents and files inventoried.


Desk and working premises inventoried.


Company has no further liability with the terminated employee.




Supervisors Signature:            Date:         


Department:              Date:        

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