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Employee Separation Form Template

Create a professional separation process with ease

Handling an employee's departure can be complex and emotional, but this Employee Separation Form template simplifies the process for you. Designed for HR professionals and managers, it ensures a smooth and compliant separation experience. With this template, you can easily collect necessary information, create professional documentation, and maintain accurate records, making the transition seamless for both parties. Plus, it includes WCAG-aligned labels to enhance accessibility. Try using the live template to see how easy it can be!

Employee full name
Employee ID
Department
Job title
Work email
Manager or supervisor name
Separation type
Resignation (voluntary)
Retirement
End of contract
Termination (involuntary)
Layoff/Redundancy
Mutual separation
Other
Please Specify:
If other separation type, please specify
Last working day
Was notice given?
Yes
No
Notice period length (e.g., number of weeks)
Primary reason for leaving
Please Specify:
If other reason, please specify
Eligibility for rehire
Yes
No
To be determined
Items to be returned
Please Specify:
Have all company items been returned?
Yes
No
Not applicable
List any outstanding items, damages, or notes
Accounts and access to disable
Please Specify:
Forwarding address for final documents and tax forms
Preferred method to receive final pay
Direct deposit on file
Mailed check
Pickup in person
Other
Please Specify:
If other pay method, please specify
Unused PTO payout applicable
Yes
No
Not applicable
Benefits continuation (e.g., COBRA) discussed
Yes
No
Not applicable
List any pending reimbursements or notes
Outstanding expenses to reimburse
Yes
No
Personal email (for post-employment contact)
Personal phone
Preferred contact method after departure
Email
Phone
Do not contact (except for legal/administrative matters)
Overall satisfaction with your employment experience
Very dissatisfied
Dissatisfied
Neutral
Satisfied
Very satisfied
How likely are you to recommend this company as a place to work?
0 Not at all likely
1
2
3
4
5 Extremely likely
Comments or suggestions for improvement
Would you consider returning to the company in the future?
Yes
No
Unsure
Employee typed full name (serves as signature)
Signature date
Manager or HR representative name
Manager/HR approval date
I confirm the information provided is accurate to the best of my knowledge
Strongly disagree
Disagree
Neither
Agree
Strongly agree
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Paper art illustration for an employee separation form template article featuring design elements and office-related imagery

When to use this form

Use this employee separation form when an employee resigns, retires, is laid off, or is terminated. It helps HR, managers, payroll, and IT capture the last day, reason, rehire status, final pay, and asset returns, so you can close out records and reduce risk. Trigger follow-up tasks with the Employee offboarding checklist form. If you need to gather feedback on culture and management, pair it with the Employee exit interview form or an Exit survey form. For seasonal or high-turnover teams, standardizing this process helps you respond to unemployment claims and document compliance. For sensitive exits, you can limit access and route approvals, ensuring equipment, badges, and accounts are collected and deprovisioned on time.

Must Ask Employee Separation Questions

  1. What is the employee's last working day and termination effective date?

    Clear dates let you calculate final pay, benefits end, and any COBRA timelines. They also schedule account deactivation and badge return at the right time.

  2. What is the primary reason for the separation?

    Reason codes (resignation, layoff, termination for cause) support compliance and unemployment responses. They also signal whether to invite the employee to the Employee exit interview survey form to capture actionable feedback.

  3. Which company assets and system access must be returned or revoked?

    Listing laptops, keys, credit cards, and apps reduces security and data loss risk. It gives IT and facilities a clear checklist to work from.

  4. Is the employee eligible for rehire? If not, why?

    Rehire status guides future recruiting and prevents inconsistent decisions. Documenting the reason protects your organization if disputes arise.

  5. What final pay items apply, and how should they be delivered?

    This captures unused PTO, commission, expenses, and severance, plus delivery method and address. Pair it with the Employee exit form to collect banking details and acknowledgments.

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