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Termination Log Summary
|
Name of Employee: ______________________ Department: ______________________ Date of Termination: ______________________ Final Date of Employment: ______________________ Last Rate of Pay: ______________________ Last Grade: ______________________ Reason For Termination: ______________________ Additional Comments: |
|
| PREPARED BY: | APPROVED BY: |
| ______________________ Name and Title |
______________________ Name and Title Of Supervisor: |
| ______________________ Signature: |
______________________ Signature Of Supervisor: |
| ______________________ Date: |
______________________ Date: |
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