This is a document used by an employer to notify an employee that he or she is being
dismissed. The notice provides the reasons for dismissal, the date of the dismissal, the
severance package, health benefits termination, and return of employer property.
However, this notice is not required when terminating “at-will” employees, who can be
fired at any time for any reason or no reason. This document should be used by small
businesses or other entities that want to dismiss their employees for a particular reason.
Notice to Employee of Termination
_____ [Instruction: Insert Date.]
_____ [Instruction: Insert Employee Name.]
_____ [Instruction: Insert Employee Address.]
_____ [Instruction: Insert Employee City, State, Zip Code.]
Dear Mr. / Ms. ______________: [Instruction: Insert Employee name.]
This is to inform with regret that your employment with _____ [Instruction: Insert name of
Company.] will be terminated effective _____ [Instruction: Insert date.]. The reason for
termination is [Instruction: Insert the termination reason(s).]:
Below standard work
[Comment: Unless state law requires employers to provide a reason for termination,
remove this reference and do not provide a reason.]
This letter serves as a __________ ( ) days written notice of your termination, following the
verbal notice provided _____ by _____, and in front of _____. [Instruction: Insert applicable
information. If no such verbal notification was given, remove reference to prior verbal
notification.] This meets the applicable statutory notice. [Instruction: If required pursuant to
applicable state law, state any previous notifications regarding infractions or terminable
[Option: Company should consider inserting language regarding whether or not terminated
employee is expected to work during the period between the termination notice and the
termination date, and if so, what type of schedule.]
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The Company has chosen to give you a severance package in the amount of _______________
($ ___________) dollars, [Instruction: Insert amount of severance to be paid, and the form
in which it will be paid (e.g., in the form of stock, direct deposit in same manner as normal
paycheck, check) and whether or not same is payable over a period of time (if so, state
period of time and increments in which it will be paid) or in a lump sum manner. Also,
state whether same is reduced if person obtains another job within a certain time frame.]
and a statement will be mailed regarding any outstanding benefits which will be payable to you.
You will/will not [Instruction: Choose one.] be paid for accrued vacation time at a rate of ____.
[Instruction: State rate of pay for vacation time. Further, the same sentence can be added
for personal time and/or sick time, as applicable.] You will/will not [Instruction: Choose
one.] continue to accrue vacation time between now and the date of termination. [Instruction:
The same sentence can be added for personal time and/or sick time, as applicable.] All
company provided benefits will cease as of your termination. You may be eligible for
unemployment compensation to the extent state law allows. [Option: You may state if there
are any additional severance services to be provided to the employee, including for example
outplacement services and/or use of company facilities for job search purposes.]
This notice will not affect any rights or obligations you have otherwise accrued under Health
Insurance Plans, Life Insurance, Accidental Death and Dismemberment Insurance (ADD), Long
Term Disability Insurance (LTD) and the Retirement Savings Plan. The terms of those Plans
shall control the termination of benefits under those plans.
The Company shall not maintain any insurance coverage for you beyond the date of termination.
[Option: Company may choose to change this if certain types of insurance will be provided
for a period of time.] Following your Termination Date you will be able to continue, at your
expense, the company health insurance benefits as set forth under COBRA.
If you have not returned all the Company’s property, including but not limited to, access
keycards, Building and/or Company identification, laptops, PDAs, cell phones, credit cards or
other benefit or advantage cards, printers, documents, manuals, remote access devices, files and
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any other written or electronic Company information, Please arrange to return such company
property that is in your possession, in substantially the same condition as it was delivered to you