
FLORIDA A&M UNIVERSITY 
LETTER OF RESIGNATION AND ACCEPTANCE FORM  
 
 
 
 
 
_________________________________ 
(Date of Resignation) 
 
 
To Whom It May Concern: 
 
I, ______________________________________, hereby resign my position at Florida A&M University, 
   
(Employee’s Name)  
 
_____________________________________, effective _______________________________________ 
 (Department or Division)                                                      (Date Resignation will be effective or fill in the word “immediately.”) 
 
The reason for my resignation is:__________________________________________________________ 
 
_____________________________________________________________________________________ 
 
_____________________________________________________________________________________ 
(Examples would be – “accept a position with another employer,” “retirement,” “pursue other career interests,” 
 “health reasons” etc.) 
 
My signature acknowledges that I am resigning voluntarily and without coercion on the University’s part, 
and that I acknowledge my responsibility to schedule an exit interview with Human Resources by 
contacting and scheduling the interview with either Shakonda Peters or Shauna Allen at (850) 599-3611. 
 
 
___________________________________________      _______________________________________ 
(Employee’s Signature)                                                              (Date Resignation Signed by Employee) 
 
 
 
This letter of resignation is accepted on behalf of Florida A & M University by  
 
 
___________________________________________. 
  
(Title of Immediate Supervisor Accepting Resignation)   
 
 
___________________________________________        ______________________________________ 
(Signature of Immediate Supervisor)                                              (Date Resignation Accepted by Immediate Supervisor) 
 
Instructions for Completion and Distributing Letter of Resignation
 
It is the responsibility of the Immediate Supervisor to promptly accept a letter of resignation and to provide a copy 
of the resignation letter to the Director of Labor and Employee Relations, Mr. David Voss no later than twenty-four 
(24) hours after the resignation has been signed by the employee and the immediate supervisor.  This copy may be 
faxed to (850) 412-5569.  A hard copy must be provided to Mr. Voss no later than three (3) working days after the 
resignation. His office is located in 208A Foote-Hilyer Administration Center. 
 
HR-LR 5 (01/17/07)