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Voluntary Resignation by Employee Form
| Date: | |
| Employee: | Social Security No.: |
| Title: | Department/Location: |
| D/O/H: | Supervisor's Name: |
I, the undersigned, am voluntarily resigning from my position as (Title) with (Company Name). My last day of employment with (Company Name) will be (Specify Date). I am resigning my position because: | |
| You may contact me at the following telephone number and address: | |
After (Specify Date) you can reach me at: | |
| Thank you for your attention in this matter. | |
| Employee Signature | Date |
| Received by: (Name/Title) | Date |
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