EMPLOYMENT TERMINATION LETTER
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Effective Date: ________________________________________________________
Place: _________________________________________________________________

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1. Parties
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This document is made on ____________________ (____________________) by:

Employer
Individual
Full Legal Name: _______________________________________________________
SSN / ID: ______________________________________________________________
Doc Series: ____________________________________________________________
Address: _______________________________________________________________
         _______________________________________________________________

Addressed to:

Employee
Individual
Full Legal Name: _______________________________________________________
SSN / ID: ______________________________________________________________
Doc Series: ____________________________________________________________
Address: _______________________________________________________________
         _______________________________________________________________

2. SUBJECT-MATTER SCHEDULE & SPECIFICATIONS
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Job Title: _____________________________________________________________
Last Day of Employment: ________________________________________________
Notice Period and Final Pay Arrangements:
    ____________________________________________________________________
Reason for Termination, if Stated:
    ____________________________________________________________________
Company Property to Return: ____________________________________________

3. EXECUTION & SIGNATURES
-------------------------

Employer

Signature: _____________________________________________________________

Full Legal Name: _______________________________________________________
Date: __________________________________________________________________