Today's Date:__________  Employee's Name:_______________________

Date of Hire: ____________ Date of Resignation: _____________________

I am voluntarily resigning. My last day of employment will be _______________

I am resigning my position for the following reasons: _____________________

_____________________________________________________________

_____________________________________________________________

_____________________________________________________________

_____________________________________________________________
 

After ______________, you can reach me at the following address and telephone numbers: _____________________________________________

_____________________________________________________________

___  I will pick up my final paycheck.
___  Please mail my final paycheck to the address shown above.

Employee signature: ____________________________ Date: _________