Questionnaire - FASTER DRAFT

Who is Employee?

Indicate an Employee's full name (i.e. this a person who wants to retire):
Indicate an Employee's full residential address:
Indicate an Employee's current job title:
Indicate an Employee's contact email address:

!
This email address can be used by the employer in order to reach an employee to discuss further details of a retirement.

This should be a personal email address.
Indicate the date on which an Employee signs this letter:

Who is Employer?

The Employer is:
- A business or organization
- An individual
Indicate an Employer's full name:
Indicate the Employer's company full name:
Indicate an Employer's full business address:
Indicate a name of a person to whom this letter will be addressed:

!
This is usually a name of a company’s CEO or head of HR department.

Retirement details

Is this letter being sent in compliance with a retirement notice period?
- Yes
- No
!
A retirement notice period is the amount of time an employee is required to work after formally notifying their employer that they are leaving their job and want to retire.

It gives the company time to plan for the employee’s departure, find a replacement, and ensure a smooth handover of responsibilities.

Notice periods are often set in employment contracts and can range from a few days to several months, depending on the role and company’s policy.
Does an Employee wish to use accrued but unused vacation days before the contract's end?
- No
- Yes
Select the Employee's last working day:
Indicate the total number of unused vacation days an Employee wishes to use:
Select the Employee's last working day, considering the number of days of vacation taken:
Which of the benefits below does an Employee currently have?
- Group Health Insurance Coverage (COBRA)
- 401(k) plan
- COBRA and 401(k) plan
- None of the above

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

Select a document's format:

PDF

DOCX

Back

You can skip answers for the questions.
Skipped answers will appear as blank part in the text of the final document. You can fill them in at later stage.

Back

Skip

You can skip answers for the questions.
Skipped answers will appear as blank part in the text of the final document. You can fill them in at later stage.

Who is Employee?

Indicate an Employee's full name (i.e. this a person who wants to retire):

Indicate an Employee's full residential address:

Indicate an Employee's current job title:

Indicate an Employee's contact email address:

Indicate the date on which an Employee signs this letter:

Who is Employer?

The Employer is:

Indicate an Employer's full name:

Indicate the Employer's company full name:

Indicate an Employer's full business address:

Indicate a name of a person to whom this letter will be addressed:

Retirement details

Is this letter being sent in compliance with a retirement notice period?

Does an Employee wish to use accrued but unused vacation days before the contract's end?

Select the Employee's last working day:

Indicate the total number of unused vacation days an Employee wishes to use:

Select the Employee's last working day, considering the number of days of vacation taken:

Which of the benefits below does an Employee currently have?

Do you want to add a signature?

Employee's signature:

Select a document's format: