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Notice of Dismissal

Complete the form fields below to generate an Notice of Dismissal that you can print. (The current date is filled in automatically by the script creating the printable form.)

Click here for completed sample. Bolded items are examples of completed fields from this form.

Employee's Name:
HR Representative:
(Human Resources Representative's name)
Company:
(Please enter name of employer's company)
Department:
(Department, if applicable)
Street Address:
City:
State/Province:
(Please select U.S. state or Canadian province)
Zip/Postal Code:
Country:
Select U.S.A. or Canada
Reason:
(Indicate why the employee is being dismissed.)
Date Accident Occurred://
(Select the month, day and year the dismissal is effective)
CC:
(Indicate who gets a copy of this notice.)

This is not a substitute for legal advice and it is suggested that an attorney be consulted.

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