Termination of Employment
Adams Stirling PLC
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TERMINATION OF EMPLOYMENT

Employee:______________________________________

Social Security # _________

Your employment with the Association has ended effective this date: _________ for the reasons checked below:

    ?    Voluntary quit. Reason for resignation described below
    ?    Job abandonment by employee
    ?    Discharged for violation of workplace rules as described below
    ?    Refusal to accept available work
    ?    Restructuring - elimination of position.
    ?    Layoff
    ?    Other

Explanation:

Association Representative: ________________________  Date:__________


Employee Comments:

Employee signature:_____________________________   Date:__________

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Adams Stirling PLC