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Employee Separation Form

This employee separation form collects information about an employee resigning from their position, including their name, position, employee ID, department, and start date. It documents the employee's notice period and last day, reasons for resigning such as a new job offer or personal reasons, and requires signatures from the employee and managers. The form is used to officially record an employee's resignation and ensure proper procedures are followed.

Uploaded by

Alia Jae DAY6
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1K views1 page

Employee Separation Form

This employee separation form collects information about an employee resigning from their position, including their name, position, employee ID, department, and start date. It documents the employee's notice period and last day, reasons for resigning such as a new job offer or personal reasons, and requires signatures from the employee and managers. The form is used to officially record an employee's resignation and ensure proper procedures are followed.

Uploaded by

Alia Jae DAY6
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
  • Employee Separation Form

EMPLOYEE SEPARATION FORM

Name Position
Superior Employee ID.
Dept /Section Job Grade
Join Date Shift Code
Resignation

1) I wish to tender my resignation with ________________ weeks/days notice with effect from (dd/mm/yy) ________________to ________________.

2) Notice Period (please tick(/) in the appropriate box).


My actual last working day shall be on (dd/mm/yy) _________________ after application of __________ days annual leave.
I fulfill the notice requirements of my contract of employment.
My notice period does not fulfill the requirements of my contract of employment. Kindly notify me on the amount need to be paid in
lieu of short notice. I authorise the company to deduct from my wages the amount payable in lieu of short notice and if my wages is
insufficient to cover the amount payable, do notify me the amount need to be paid.

3) Reasons for resignation. Please tick(/) one main reason of leaving:


Better offer / Career prospect Personal reasons Work condition /work related
Learning & development opportunities Transportation problems Better working environment
Lack of career development Personal (not job related) Loss of interest in job
Better prospects/interesting job Family problem Workload/workstress
Health problem Unclear roles and responsibility
Further studies Follow spouse /relocation Problem with subordinate(s)/colleague(s)
Pursue full time studies locally Move into business/other field Leadership behaviour
Pursue full time studies overseas Childcare problem Better work culture/worklife balance/flexi work
Unhappy/dissastified with pay
Others
Other types of separation Acknowledgement by Employee
Transfer to another For tax clearance purposes
Others (Please state) I am taking up another employment in Malaysia
I am taking up an employment overseas/I am migrating
Exit Interview I will not be taking up an employment upon my resignation
Exit interview completed

Employee's signature
Date : ____________________ Interviewer : _____________________
Date
Acknowledgement

Superior Manager Head of Department

Signature Signature Signature


Name Name Name
Date Date Date

Recommended to re-hire Yes No If no, pls state reason :

For Human Resources Use


Fulfill notice period Yes No Recommended for re-hire Yes No
Remarks (if any)
Signature
Name
Date
General info
1. Company's official notice period is : Operators (14 days), Executives (30 days), Managers (60 days) and Head of Departments (90 days)
2. Final salary less owing to the company will be credited no later than one (1) day after last working day.
3. Accpetance of resignation shall be provided on the last day of employment
4. Employees who require a testimonial are required to inform Human Resources at least seven (7) days prior to the last working day
5. Employee shall handover all company property including notebook, badges, and other items to Human Resources on the last physical day

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