Questionnaire - FASTER DRAFT

Employer's Details

Employer (i.e. a person that prepares this letter) is:
- A business or organization
- An individual
Indicate an Employer's company full name:
Indicate an Employer's full name:
Indicate an Employer's residential or business address:
Indicate the full name and position of the person that sends this letter on behalf of the Employer:

!
If this letter is created by a company, it should be signed either by a company’s director, head of HR, or other person authorized to do so based on the internal company’s bylaws or power of attorney.
Indicate the Employer's contact email address or phone number by which the Worker can further discuss their termination of employment:

!
If the Worker needs to discuss their termination, ask questions, or raise additional concerns to the Employer, they should be able to do so via email or phone provided in the text of the present letter.

Usually, this is a head of the HR department or a company’s CEO who can be in charge of this type of communication.
Select the date on which this letter is being send:

Worker's Details

Indicate a Worker's full name:
Provide the Worker's full residential address:
Indicate a Worker's current job title or position:
Select the date when the Worker's employment contract started:

!
This is usually the date of the Worker’s first day or the date of signing their employment agreement (whatever comes first).

Details of Job Termination

When the Worker's employment should be terminated?
- Immediately (i.e. as of the date of this letter)
- Other date
Select the Worker's last day at work:
Select the reason why the Worker's employment is being terminated:
- Poor performance
- Issues with the Worker's discipline
- Other reasons
Describe in detail the Worker's poor performance:

!
Poor performance at work may include the following:

– Frequently missing deadlines;
– Producing low-quality or error-filled work;
– Poor attendance or excessive tardiness;
– Not following instructions or procedures;
– Failing to meet targets or goals;
– Lack of attention to detail;
– Slow work pace compared to colleagues and more.
Describe in detail all issues related to the Worker's discipline:

!
The discipline issues at the workplace may include the following:

– Repeated lateness or absenteeism without valid reason;
– Insubordination or refusing to follow instructions;
– Workplace bullying or harassment;
– Fighting or threatening co-workers;
– Theft or dishonesty;
– Violating company policies or procedures;
– Substance abuse at work.
Describe in detail all the reasons that caused termination of employment:

!
The reasons provided in the answer to this question should be as specific as possible. This does not only help the Worker to understand the problem but also protects employers from possible legal actions in the future.
Does the Worker have accumulated days of paid sick leave as of the date of sending this letter?
- No
- Yes
Indicate the number of the Worker's paid sick leave days:
Describe how those days of paid sick leave should be repaid to the Worker upon termination of the employment:
Does the Worker have accumulated days of paid annual leave as of the date of sending this letter?
- No
- Yes
Indicate the number of the Worker's paid annual leave days:
Describe how those days of paid annual leave should be repaid to the Worker upon termination of the employment:
Does the Worker have ongoing health insurance coverage provided by the Employer?
- No
- Yes
Describe in detail how exactly the coverage of the health insurance should be ceased upon termination of the employment:
Indicate the final amount of the paycheck (in USD) the Worker gets upon termination of the employment:
Describe in detail how and where the working stationary and equipment should be returned back by the Worker:
Will the Worker be invited to "exit" interview?
- No
- Yes
!
Exit interview is a meeting held with a worker who is leaving a company to discuss their reasons for leaving, gather feedback about their experience, and identify opportunities for organizational improvement.
Select the date on which the exit interview takes place:
Indicate the time for the Worker's exit interview:

Miscellaneous

Does the Employer want the Worker to sign a non-compete agreement?
- No
- Yes
!
A non-compete agreement is a legal contract between a former worker and their employer.

The main goal is to limit a worker’s ability to work for employer’s competitors or start a competing business within a certain period of time after termination of employment. This contact is mainly being used to protect the company’s confidential information and business interests.
Describe the details of the suggested non-compete arrangement:
Did the Worker sign any non-disclosure agreements with the Employer in the past?
- No
- Yes
!
A non-disclosure agreement is signed to protect an employer’s confidential information against disclosure.
Does the Employer wish to add any additional information (except for which was mentioned in the previous questions)?
- No
- Yes
Describe all the additional information that should be communicated to the Worker with regard to termination of employment:

!
The Employer may wish to discuss the following:

– If the Worker is being redundant, they might be entitled to additional bonuses.
– If the Worker is leaving the company before a certain period of time, they might be required to compensate the Employer’s expenses for their education or training.
– any other information the Employer deems necessary to communicate.

Do you want to add a signature?
- Yes
- No
Employer's signature:

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Product	Subtotal
Termination of Employment Letter × 1	$0.01
Subtotal	$0.01
Total	$0.01
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Employer's Details

Employer (i.e. a person that prepares this letter) is:

Indicate an Employer's company full name:

Indicate an Employer's full name:

Indicate an Employer's residential or business address:

Indicate the full name and position of the person that sends this letter on behalf of the Employer:

Indicate the Employer's contact email address or phone number by which the Worker can further discuss their termination of employment:

Select the date on which this letter is being send:

Worker's Details

Indicate a Worker's full name:

Provide the Worker's full residential address:

Indicate a Worker's current job title or position:

Select the date when the Worker's employment contract started:

Details of Job Termination

When the Worker's employment should be terminated?

Select the Worker's last day at work:

Select the reason why the Worker's employment is being terminated:

Describe in detail the Worker's poor performance:

Describe in detail all issues related to the Worker's discipline:

Describe in detail all the reasons that caused termination of employment:

Does the Worker have accumulated days of paid sick leave as of the date of sending this letter?

Indicate the number of the Worker's paid sick leave days:

Describe how those days of paid sick leave should be repaid to the Worker upon termination of the employment:

Does the Worker have accumulated days of paid annual leave as of the date of sending this letter?

Indicate the number of the Worker's paid annual leave days:

Describe how those days of paid annual leave should be repaid to the Worker upon termination of the employment:

Does the Worker have ongoing health insurance coverage provided by the Employer?

Describe in detail how exactly the coverage of the health insurance should be ceased upon termination of the employment:

Indicate the final amount of the paycheck (in USD) the Worker gets upon termination of the employment:

Describe in detail how and where the working stationary and equipment should be returned back by the Worker:

Will the Worker be invited to "exit" interview?

Select the date on which the exit interview takes place:

Indicate the time for the Worker's exit interview:

Miscellaneous

Does the Employer want the Worker to sign a non-compete agreement?

Describe the details of the suggested non-compete arrangement:

Did the Worker sign any non-disclosure agreements with the Employer in the past?

Does the Employer wish to add any additional information (except for which was mentioned in the previous questions)?

Describe all the additional information that should be communicated to the Worker with regard to termination of employment:

Do you want to add a signature?

Employer's signature:

Select a document's format:

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