Fill and Sign the Confidentiality Agreement Shrm Form

9.04[6][b] Trade Secret Acknowledgment and Termination Agreement (Long Form) TRADE SECRET ACKNOWLEDGMENT AND TERMINATION AGREEMENT Employee Name______________________________________ Date of Termination____________________________________During the course of my employment by XYZ Corporation, I have acquired knowledge of or had access to trade secrets and confidential information, including, but not limited to, the information in my notebook(s)(if any) and those items checked below. (Use additional signed and dated sheet if necessary.) 1. Business Information ____ Financial data ____ Pricing/costing data ____ Business and new product plans in the field(s) of ______________ ____ Customer and vendor lists, contacts, preferences, and plans ____ Marketing data ____ Agreements/bids/quotes, especially _____________________________ ____ Personnel lists, organization charts, and data regarding personnel abilities and compensation 2. Technical Information ____ Research and development projects, especially ___________________ ____ Product designs and specifications, especially _____________________ ____ Patent applications and disclosures, especially ____________________ ____ Yields, designs, efficiencies, and capabilities of production methods, facilities, and systems. ____ Process information, especially________________________ I acknowledge that I have been advised and am aware of my obligations concerning XYZ's trade secret and proprietary information, particularly that identified above to which I have had access during my employment. I signed a Confidential Information and Employee Inventions Agreement when I joined the company and I have been further advised that I cannot use for my own benefit or the benefit of others any confidential information or trade secrets (including those listed above). I represent that I have returned to XYZ Corporation all reports, drawings, memoranda, and other written or electronically stored confidential material and physical property of XYZ Corporation and have no such documents or property (or any copies, extracts or summaries thereof) in my possession or my custody anywhere. If I have any questions about the foregoing, I will call or write my supervisor. _________________________ _______________________ Date Employee Signature ________________________ _________________________ Date Witness (Short Form) Date of Termination:___________________ I certify as follows:1. I do not have in my possession, custody, or control any document or other thing containing or incorporating XYZ Corporation confidential information. 2. I am not keeping or taking away with me from XYZ Corporation any document or thing containing XYZ Corporation confidential information. 3. I shall not hereafter in any manner use or reveal to any person any confidential information of XYZ Corporation. 4. I understand and acknowledge that this statement in no way diminishes my responsibilities and obligations under the Confidential Information and Employee Inventions Agreement executed by me on __________________. 5. I have returned to my Supervisor all identification badges, keys, and other access devices issued to me by XYZ Corporation. _________________________ _________________________ Witness Employee