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Employee leaving Form: What You Should Know

It is an optional form; however, not being able to access records may cause legal concerns. The exit interview form is a one-page form that can be completed by either the employee or an authorized person. The form is not a complaint or disciplinary report. When completed by the employee, please include their last name, employer, employment number and reason for leaving The Employee Exit Form Template does not include Social Security, SSN, address, and all other information provided by the employee to you. Exiting Employee Questionnaire Template The departure interview questionnaire is used to conduct an exit interview. This questionnaire will ask for information about the employee's experience and what they were paid prior to termination. An exit interview questionnaire can be used in addition to the exit interview form. Exits are often conducted outside of normal business hours so if you are conducting an exit interview please review the time that the exit interview is scheduled to take place Exiting Employee Questionnaire Template (A) The exit interview questionnaire (A) is a 2.5-page form that you can use for both employee termination and job transfer. This form is a non-intrusive form and is considered the most complete form for both employees and managers. The employee must complete the exit questionnaire in a single sitting. The completed questionnaires should be mailed to: The Department Of Consumer And Business Services Administrative Center, Suite 1004 3 East Main St. Suite 4 Suite 200 Charleston, WV 25305 After they are mailed, the documents will be mailed once a month. Do not use faxed or emailed documents. The documents should be mailed to the address provided by the individual leaving or transferring Filing and Paying a Certificate of Election To Terminate Certificate of Election To Terminate Form (Forms 6,10) Certificate of Election To Terminate Instructions (Form 7) The Certificate of Election To Terminate can be used to determine whether an employee is terminated or whether an employee is eligible to become a regular or substitute employee of the State. Certifying a Termination Sign your name and date to the certificate to certify that the employee has been fired. (NOTE: This form is a one-page form) Filing the Certificate Of Termination Complete and sign Form 7. In order to receive severance pay, the form must be submitted by the end of the month following termination date. The employee should submit the termination notice to the new position in a timely manner.

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