Termination Exit Interview Form

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Exit Interview Form/Notification of Termination Name of Employee: Date of exit interview: Employee Supervisor: Please be advised that (Name) , Employee , has terminated employment with the Town of Berlin for the following reasons(s) Quit, reason unknown Quit, starting employment elsewhere Discharged for Misconduct Failed to meet performance standards Lack of Work Employee is retiring Other: Do you expect to recall this employee Yes No Employee is no longer considered an employee of the Town of Berlin for any reason (not eligible to return at all)..

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