Termination Recommendation

Store *

Date * +

Employee Name *

Employee Phone *

Employee Start Date *

Managers Name *

Ensure the following steps have been completed: *

ISP Write up attached and Supervisor signatures, as well as employee signature, citing the violated policy and reason for termination. Fax over.

Have a meeting with the employee explaining the exact write up and allegations. Allow them to provide any additional texture. Document all information. Present the write up and have the employee sign, and provide a copy to them.

E-mail, scan or fax over any additional write ups generated in the past on this employee.

Let the employee know that he/she is suspended and needs to contact the main office before they report back to work. The Employee cannot work until the case has been finalized.

Via phone or in person: Via phone or in person:

Date and Time Employee was contacted:

Date * +

Time *

Did you speak to the employee directly?

*

YES

NO (explain) NO (explain)

List and Cite the Yellow Handbook policy (including page #) violated that warrants termination *

List what occured incude all details: date, time, location etc. *

List any witnesses or other employees involved in the incident *

The information filled out in this form is true and accurate. By typing my name in this box, I am recommending that this employee be terminated. *

Signature (use your finger on an ipad or your mouse on a laptop) *

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