Follow the steps to fill out the form correctly

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Fill in the work site employer in the designated field to identify the employer associated with the separation.
3. Enter the date of completion to indicate when the form is being filled out.
4. Provide the employee’s name in the specified field, including their first and last name.
5. Input the employee’s Social Security Number (SSN) for identification purposes.
6. Fill in the job title of the employee, clarifying their role within the organization.
7. State the last day worked, which is the final day of active work for the employee.
8. Enter the last paycheck date to indicate when the employee’s final payment was issued.
9. Provide the last pay period ending date for accurate record-keeping.
10. Select the reason for separation or release from the list provided, including options such as resignation, relocation, or discharge. If necessary, elaborate in the 'Other' field.
11. Indicate whether the employer would consider rehiring the employee by selecting 'Yes' or 'No,' and provide reasoning if applicable.
12. If the separation is involuntary, specify the reason for discharge and any relevant details regarding misconduct or absence.
13. Review the statement regarding contacting Matrix OneSource within 48 hours for reassignment to ensure compliance.
14. Obtain necessary signatures including the employee, witness, and supervisor. Each party should also date their signatures.
15. Once all fields are filled out and signatures are gathered, save changes to the document. You can then download, print, or share the completed form as needed.

Start completing your FL Matrix OneSource Employee Separation/Release Form online today!