Separation of employment form

Managers should complete this form whenever any employee leaves TotalPML, whether by leaving or being letting go

Name Of Person Completing Seperation Form

Managers Name

First Name

Last Name

Name Of Employee Leaving Company

Name of Person Leaving or Being Let Go - No Longer Working at TOTALPML

First Name

Last Name

Terms Of Seperation

Date and (general) time of seperation

Summary Of Seperation

Please describe the conversation had with the person leaving

Additional Comments