End of Employment Form | Home Pages Advertising

Today's Date

Rep Name:

District Manager Name

District Manager Email

Rep's Last Day of Employment

Unreported Hours

End of Employment Type:

Reason for Termination

End of Employment Review List

Employees who have elected to participate in our Health and/or Dental Insurance will receive a COBRA election packet by mail within 14 days of employment termination.
Information regarding the 401(k) will be sent via mail from the 401(k) provider.
If an employee is resigning his/her position, please ask the employee to present a written/signed resignation letter explaining why they are resigning.
Exit interviews are conducted for all departing employees and those are managed through Survey Monkey. The departed employee will receive an invitation via the email address on file to participate in the survey.
Final paycheck date for a departing sales rep is the next commissionable payday. Departing employees will never receive their last paycheck during the same week as their resignation/termination due to the one week lag with payroll hours worked.

Supplies Returned

iPad & Charger Returned

Date iPad was returned by Rep

FedEx Tracking #

Date Scheduled for iPad Return

Attach Resignation Email

Click or drag a file to this area to upload.

Optional Additional File Upload

Click or drag a file to this area to upload.

End of Employment Form.