General Separation Notice

State:
Multi-State
Control #:
US-412EM
Format:
Word; 
Rich Text
Instant download

Understanding this form

The General Separation Notice is a document used by management to formally notify an employee of their separation from employment. This form captures essential details about the employee's last days at work and the reasons for their separation. Unlike other employment forms, this notice serves a specific purpose of recording the separation officially, making it an important part of employment records.

Main sections of this form

  • Employee’s name and social security number
  • Employment dates and occupation
  • Location where the work was performed
  • Reason for separation, including options for lack of work, discharge, or quit
  • Details regarding any pay received upon separation, such as wages in lieu of notice or separation pay
  • Supervisor’s name and contact information, along with their signature

When to use this form

Employers should use the General Separation Notice when an employee is officially separated from the company for any reason. This includes situations such as layoffs due to a lack of work, employee resignations, or terminations for other reasons. It is important for documentation and recordkeeping that all separations are clearly communicated and documented.

Who this form is for

This form is intended for:

  • Managers and supervisors in a business or organization
  • Human resources personnel responsible for employee records
  • Business owners who handle employee separations directly

Completing this form step by step

  • Begin by entering the employee’s full name and social security number.
  • Specify the dates the employee was employed and their occupation.
  • Indicate where the employee performed their work.
  • Choose the reason for separation from the provided options and explain if necessary.
  • Document any compensation the employee received upon separation.
  • Complete the supervisor’s details and obtain their signature along with the date.

Notarization guidance

Notarization is not commonly needed for this form. However, certain documents or local rules may make it necessary. Our notarization service, powered by Notarize, allows you to finalize it securely online anytime, day or night.

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Download a copy, print it, send it by email, or mail it via USPS—whatever works best for your next step.

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If this form requires notarization, complete it online through a secure video call—no need to meet a notary in person or wait for an appointment.

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We protect your documents and personal data by following strict security and privacy standards.

Typical mistakes to avoid

  • Failing to include accurate dates of employment.
  • Not providing a clear reason for the separation.
  • Leaving fields incomplete, particularly regarding compensation.
  • Not obtaining the supervisor's signature.

Benefits of completing this form online

  • Convenient access to a ready-to-use form anytime.
  • Editable format allows for quick adjustments as needed.
  • Reliable and professionally drafted by licensed attorneys, ensuring compliance with legal standards.

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FAQ

Notify the employee of their termination date. State the reason(s) for termination. Explain their compensation and benefits going forward. Notify them of any company property they must return. Remind them of signed agreements. Include HR contact information. Termination letter without cause.

The date the termination is effective from. The reason(s) for termination. An explanation of their compensation (if any) and what will happen to their benefits. A list of company property to be returned (if any).

Know your purpose for writing. Know the reason why you are writing the separation notice and who you are writing it to. Gather all key information. Organize. Make it brief and clear. Make use of formal language and tone. Proofread.

When a company ends an employee's job, they typically provide a termination letter, also called a letter of separation, stating the reason for termination and next steps. A termination letter is an official and professional way to document and describe the separation between the employee and employer.

An employer is only sometimes required to provide an employment separation certificate. For instance, if a former employee asks for one, the employer needs to provide it.If you're an employer and receive a request to complete one, you need to do so within 14 days.

Individual employees are provided with form DOL 800. This form (and other Separation Notices) is available at the Georgia Department of Labor (GDOL) website. Last summer, House Bill 373 was signed into law.

2 weeks' notice, if you have worked between 2 and 4 years; 4 weeks' notice, if you have worked between 4 and 6 years; 5 weeks' notice, if you have worked between 6 and 8 years; 6 weeks' notice, if you have worked between 8 and 10 years; and.

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General Separation Notice