How to draft a Printable Employee Termination Form? Download this Printable Employee Termination Form template now!
We support you and your company by providing this Printable Employee Termination Form HR template, which will help you to make a perfect one! This will save you or your HR department time, cost and efforts and help you to reach the next level of success in your work and business!
This Printable Employee Termination Form has ways to grab your reader’s attention. It is drafted by HR professionals, intelligently structured and easy-to-navigate through. Pay close attention to the most downloaded HR templates that fit your needs.
Download this Human Resources Printable Employee Termination Form template now!
Employer Information Company/Group Name: Group Contact Person: CoPower ID : Contact E-mail: Contact Phone Number: Date: Employee Termination Information Employee Name (last, first): Social Security Number: Qualifying Event Date/Last Date of Employment: Mailing Address (Mandatory for Cal-COBRA Groups): City: State: Zip: Reason for Termination Voluntary termination of employment Deceased (provide date of death) Obtained other coverage or covered through spouse Expired COBRA coverage Voluntary termination of coverage Enrolled in error Involuntary termination of employment Gross Misconduct (not COBRA eligible) Reduction of hours Group Open Enrollment Leave of absence or medical leave Other (please explain below) Divorce Comments (if “Other” please explain): Plan coverage to terminate: CoPower ONE Dental Vision Basic Term Life and AD D Voluntary Life and AD D Life and AD D benefits are not COBRA eligible..
Also interested in other HR templates? Browse through our database and have instant access to hundreds of free and premium HR documents, HR forms, HR agreements, etc