TERMINATION NOTICE Please fill out the Termination Notice Form. Employee Name (required) Last 4 Digits of Social Security Number (required) Date of Termination (required) Was hired in our employment as (Classification) Type of Work IndustrialCommercialShopResidentialService Eligible for Rehire (required) YesNo Reason for Termination Layoff Reduction in ForceJob CompletionShut DownOther - Explain Discharge Misconduct on JobAbsenteeismOther - Explain Voluntary Quit DissatisfiedLeaving TownSicknessOther - Explain Tools - Checked in Satisfactorily YesNo Explanation Firm's Name (required) Form Filled Out By (required)
