Employee Release Agreement

EMPLOYEE RELEASE AGREEMENT

This Employee Release Agreement (the "Agreement") is made between the parties listed below and is entered into as of the Effective Date set forth herein.

Parties and Basic Terms

Employer Name:

Employee Name:

Employee Last Day of Work:    Effective Date of Release:

Employee Information

Position Information

Reporting Manager:    Employment Start Date:

Employment History

Education

References

Agreement Terms

Consideration: In consideration for the promises and releases contained herein, Employer agrees to pay Employee the total amount of $ payable on or before subject to applicable tax withholdings and normal payroll practices.

Release and Waiver of Claims: Employee, on behalf of Employee and Employee's heirs, executors, administrators and assigns, knowingly and voluntarily releases and forever discharges Employer and its past and present affiliates, subsidiaries, officers, directors, employees, insurers and agents from any and all claims, demands, actions, causes of action, liabilities, obligations and damages of any nature whatsoever, whether known or unknown, arising out of Employee's employment or termination thereof through the Effective Date.

Confidentiality: Employee shall maintain the confidentiality of the terms, amount and existence of this Agreement, except as required by law or to Employee's spouse, counsel or tax advisor. Duration of confidentiality: months.

Non-Disparagement: Employee agrees not to make any disparaging or negative statements about Employer, its officers, directors, or employees. Employer agrees that it will not make disparaging statements about Employee.

Return of Property: Employee represents that Employee has returned all Employer property. If any property remains, Employee will return the property immediately. List any outstanding items below:

Final Compensation and Benefits: Employee shall receive any unpaid wages through the last day of employment and the consideration described above. Employee understands that eligibility for health continuation coverage, retirement distributions and other benefits shall be governed by plan documents; any severance or settlement payments are subject to customary payroll deductions and tax withholdings.

No Admission of Liability: This Agreement does not constitute an admission by Employer of any violation of law or breach of contract. The parties expressly deny any such liability.

Covenant Not to Sue: In consideration of the payments and promises set forth herein, Employee covenants not to institute or participate in any action, claim or proceeding against Employer for matters released by this Agreement.

Governing Law: This Agreement shall be governed by and construed in accordance with the laws of the state of without regard to choice of law principles.

Authorizations, Disclosures and Certifications

Authorization to Contact Previous Employers and Conduct Background Checks:

I authorize Employer to contact my previous employers and to conduct background, reference and verification checks to the extent permitted by law.

Applicant Certification: I certify that all information provided in this document (including the Employee Information, Employment History, Education and References sections) is true, correct and complete to the best of my knowledge. I acknowledge that I have not relied on any representations other than those expressly set forth in this Agreement.

I certify and acknowledge the statement above.

Right to Consult Counsel: Employee acknowledges that Employee has been advised of Employee's right to consult with an attorney, has had sufficient time to consider this Agreement and signs voluntarily and without duress.

I confirm I have been advised of my right to consult with counsel prior to signing.

Miscellaneous

Severability: If any provision of this Agreement is determined to be invalid or unenforceable, the remaining provisions shall remain in full force and effect.

Entire Agreement: This Agreement contains the entire understanding between the parties and supersedes any prior agreements or understandings, whether written or oral, relating to the subject matter hereof.

Acknowledgment

By signing below, Employee acknowledges that Employee has read this Agreement in its entirety, understands its terms, and accepts those terms freely and voluntarily.

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