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Louisiana Employee Separation Notice  Form

Louisiana Employee Separation Notice Form

Use a separation notice template to make your document workflow more streamlined.

Decision. 2. Reason for Separation 3. Vacation, Severance, Dismissal, Bonus, Holiday Pay Information Hourly Rate of Pay $ Voluntary Leaving (Quit) Discharged (Fired) Hrs Worked per Week Vacation/Accrued Leave – Not PTO $ # Hrs Leave of Absence Severance/ Dismissal $ # Hrs Not Physically Able to Work Bonus $ # Hrs Holiday Pay $ # Hrs Wages in Lieu of Notice $ # Hrs Lack of Work (Reduction in Force) School Employee Contract Refused Other Suitable Work Labor Dispute/Union...
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