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End of Employment Form
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Today's Date
*
Rep Name
*
District Manager Name
*
District Manager Email
*
Rep's Last Day of Employment (Last Day Worked)
*
Unreported Hours
*
Supplies Returned
*
--- Select Choice ---
Yes
No
iPad & Charger Returned
*
--- Select Choice ---
Yes
No
Eligible for Rehire
*
End of Employment Type
*
--- Select Choice ---
Resignation
Termination
First Day No Show
(Last of Unreported
Optional Notes
Optional Attachments
Click or drag files to this area to upload.
You can upload up to 3 files.
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 their 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 Paylocity. 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.
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