Kelli User

Leavers Form - V1.0 June 2022

To be completed when someone is leaving, on the date you know they are. This should be completed by the line manager, and signed by the employee

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Print as PDF

Use this Template

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Title Page

Employee Name
Final date of Employment
Reason for Leaving
Letter of resignation attached
Would you re-employ
Any outstanding Holiday
Add signature
Date

Kelli User

Leavers Form - V1.0 June 2022

To be completed when someone is leaving, on the date you know they are. This should be completed by the line manager, and signed by the employee

Use this Template

Print as PDF

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.