Termination Form

Location*

Manager Name*

Employee Name*

First Last

Hire Date*

Termination Date*

Last Day Worked*

Separation Type*

Voluntary Separation
Involuntary Termination
Leave of Absence
Retirement
Other

Voluntary Termination*

Voluntary Termination means that the employee has resigned — a type of termination initiated solely by the employee.

For the employee to have abandoned his/her job, he or she must have committed this offense upon two consecutive shifts. Please list the dates for which the employee was a "no-call/no-show."

Did the employee "no-call/no-show" for two consecutive shifts?*

Yes
No

Date #1*

Date #2*

Additional Information: Employee Resignation*

Please explain.

Involuntary Termination*

Involuntary Termination is initiated solely by the employer and is usually due to poor performance issues, violation of Company policies, or economic downturn. The employee is discharged from employment.

Misconduct is any intentional, negligent or indifferent conduct, on the job or off the job that: (1) displays clearly a violation of the standards of behavior the employer has the right to reasonably expect of the employee, or (2) that displays clearly a substantial lack of concern for the employment. Examples include refusal to comply with reasonable requests, refusal to obey orders (insubordination), substantial lack of concern for employment, sexual harassment, etc.

Manager's Comments*

Describe the employee's problems with absenteeism and tardiness. How have these problems affected the employee's dependability? How, specifically, has the employee violated the company's official policies (e.g. accumulation of points, repeated offenses, etc.)?
Please reference the Attendance & Punctuality Policy if applicable (PDF will open in new window).

Manager's Comments*

A performance problem is one in which the employee "can't do" what it takes to perform acceptably in his/her job. The employee lacks the skills, specific knowledge or ability to meet the performance standard. Please explain how, in the estimation of the restaurant's management team, the employee has not been or is not effectively performing his/her job.

Manager's Comments*

Please indicate the policy/policies violation(s) resulting in the employee's involuntary discharge.

What was the final incident that caused the discharge? How did the incident(s) have a significant adverse impact on the Company?*

What was the date of the final incident?*

Were there prior incidents where the employee engaged in gross misconduct?*

Yes
No

Had the employee previously violated the same Company's policy/policies resulting in termination?*

Yes
No

If so, what was/were the date(s) the employee engaged in misconduct or behaved unacceptably prior to the final incident?

If so, what was/were the date(s) the employee violated the Company's policy/policies prior to the final incident?

Additional Information: Employee Discharge

Is there any additional information that should be provided? Please explain.

Leave of Absence*

A leave of absence is an officially excused period of time off duty from work or duty.

Additional Information: Leave of Absence*

Please explain.

Additional Information: Retirement*

Please explain.

Additional Information: Other Separation Reason*

Please explain.

Additional Documentation*

Is there any additional documentation that you wish to upload at this time to support the employee's separation?

Yes
No
Additional documentation will be included with nightly paperwork

If applicable, please upload any relevant documentation to support the employee's separation.

Drop files here or

Accepted file types: jpg, pdf, png, doc, docx, jpeg, Max. file size: 40 MB, Max. files: 3.

Is the employee eligible to be re-hired?*

For voluntary terminations, an employee should provide a 2 week notice prior to his/her resignation. If this notice is not given, the employee is generally not eligible to be re-hired. Employees who are discharged through involuntary termination are not eligible for re-hire.

Yes
No

Please provide an explanation.*

Fried Stewed Nude, Inc. Termination Form