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Employee Portal
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Now Hiring
Contact Us
Employee Portal
Supervisor Employee Resignation Form
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Please enable JavaScript in your browser to complete this form.
Employee's First and Last Name
*
Person filling out this form
*
Date the employee quit
*
Last day worked, if known
How was notice given that they were resigning / quitting?
*
Termination Reason
*
Another Job
Dissatisfaction with Co-Worker
Dissatisfaction with Compensation
Dissatisfaction with Supervisor
Enlisted in Armed Forces
Family Reasons
Health Reasons
Job Abandonment
Leave of Absence a...Not Return to Work
Marriage
Personal Reasons
Refused Suitable Work
Relocation
Return to School
Voluntary Other
Voluntary Retirement
Without Notice or Reason
Work Schedule
Working Conditions
Termination Reason
*
Another Job
Dissatisfaction with Co-Worker
Dissatisfaction with Compensation
Dissatisfaction with Supervisor
Enlisted in Armed Forces
Family Reasons
Health Reasons
Job Abandonment
Leave of Absence a...Not Return to Work
Marriage
Personal Reasons
Refused Suitable Work
Relocation
Return to School
Voluntary Other
Voluntary Retirement
Without Notice or Reason
Work Schedule
Choice 19
Did the employee provide written notice via text or email?
Yes
No
Is the employee eligible for re-hire
*
Yes
No
Why is the employee ineligible for re-hire?
*
given Person for?
Was all company property returned and accounted for?
*
Yes
No
Additional Documentation:(Attach any resignation letters, termination notices, or supporting documentation related to the separation.)
Click or drag files to this area to upload.
You can upload up to 5 files.
Submit
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