EMPLOYEE SEPARATION NOTICE Immediately bb - DecisionHR 2025

1. Click ‘Get Form’ to open the EMPLOYEE SEPARATION NOTICE in the editor.
2. Begin by filling in the Worksite Name, Employee Name, and Employee Address fields. Ensure all information is accurate for proper processing.
3. Next, enter the City, State, and Zip Code. Follow this by providing the Social Security Number and Last Day Worked.
4. Indicate the Date of Termination clearly to avoid any confusion regarding employment status.
5. In the REASON CODE(S) FOR SEPARATION section, select applicable codes and provide explanations with incident dates as necessary.
6. Complete the Final Incident and Explanation/Remarks sections with detailed descriptions to support your reason for separation.
7. Mark all applicable items regarding wages and severance. Ensure that you have included any relevant documents on file.
8. Finally, obtain Supervisor Signature along with the date before submitting via fax or mail as indicated.

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