Employee Release Letter

EMPLOYEE RELEASE LETTER

Date:

Parties

Recitals

Employer and Employee entered into an employment relationship under which Employee served as in the department. Employee's final scheduled day of work is (the "Separation Date").

This Employee Release Letter (the "Agreement") sets forth the terms under which Employee's employment will be separated and the mutual releases, payments, and obligations applicable after the Separation Date.

Terms of Separation and Consideration

1. Separation Pay. Employer agrees to pay Employee a gross severance payment in the amount of payable in a single lump sum on or before subject to required tax withholdings.

2. Final Wages and Accrued PTO. Employer shall pay Employee all accrued but unpaid wages and accrued paid time off in the amount of to be included with the final paycheck issued on .

3. Benefits Continuation. Employee may elect continuation of group health benefits in accordance with plan rules. Employer will provide continuation coverage for a period of following the Separation Date at Employee's expense if applicable.

4. Return of Property. Employee agrees to return all company property, including but not limited to keys, access cards, laptops, documents, and any confidential materials, no later than .

Release and Waiver

In consideration of the payments and benefits set forth in this Agreement, Employee, on behalf of Employee and Employee's heirs, agents, executors, administrators, successors and assigns, hereby fully and forever releases and discharges Employer and its past and present parents, subsidiaries, affiliates, benefit plans, insurers, and each of their respective officers, directors, employees and agents (collectively, "Released Parties") from any and all claims, demands, causes of action, liabilities, losses or obligations of any nature whatsoever, known or unknown, arising out of or related to Employee's employment or separation from employment through the Effective Date of this Agreement, including claims under federal, state or local statutes, common law, contract or tort.

This Release includes, but is not limited to, claims for wrongful termination, discrimination, harassment, breach of contract, tort, and any statutory claims arising under employment or labor statutes. Employee understands and acknowledges that this Release is intended to be a complete and final release of any and all claims as set forth above.

Confidentiality; Non‑Disparagement

Employee agrees to keep the terms, amount and existence of this Agreement confidential, except as required by law or to immediate family, tax or legal advisors, provided such recipients are informed of the confidential nature of this Agreement. Employee agrees not to make any disparaging remarks about Employer, its officers, directors, or employees. Nothing in this paragraph prohibits truthful testimony under oath in a legal proceeding or communications required by law.

Representations and Acknowledgements

Employee represents and warrants that Employee has not filed or currently maintains any lawsuit, administrative charge, or claim against any Released Party concerning matters released herein, except as disclosed in writing to Employer prior to signing this Agreement. Employee acknowledges that Employee has been advised to consult with independent legal counsel prior to signing this Agreement and that Employee has been given a reasonable period to consider this Agreement.

Tax Treatment

All payments made pursuant to this Agreement shall be subject to applicable withholding and reporting requirements. Employee acknowledges that Employer makes no representation regarding the tax consequences of the payments provided under this Agreement and that Employee is responsible for all taxes owed except where Employer is required by law to withhold.

Governing Law and Enforcement

This Agreement shall be governed by and construed in accordance with the laws of the state specified by the parties' principal place of business without regard to conflict of laws principles. Any dispute concerning the interpretation or enforcement of this Agreement shall be resolved in the state or federal courts located in the same state.

Employee Acknowledgements and Authorizations

Employee authorizes Employer to contact Employee's prior employers and references for purposes related to separation and any post-employment verifications. I authorize contact with previous employers and references.

Employee authorizes Employer and its designated agents to conduct background, credit or other investigations as permitted by law in connection with any post-employment administrative matters. I authorize background and other lawful investigations.

Personal Information

Position Information

Employment History (Most Recent)

Employment History (Prior)

Education

References

Legal Disclosures

At‑Will Employment: Employee acknowledges that, unless otherwise provided by a written agreement signed by an authorized representative of Employer, Employee's employment is at will and may be terminated by either party at any time with or without cause or notice.

Equal Opportunity: Employer is an equal opportunity employer. Employment decisions are made without regard to race, color, religion, sex, age, national origin, disability, veteran status, or any other characteristic protected by law.

Applicant / Employee Certification

I certify that all information provided in this form is true and complete to the best of my knowledge. I understand that providing false information may void this Agreement and may result in legal consequences. I certify the above.

Acceptance

By signing below, the parties acknowledge that they have read, understand and agree to all terms and conditions contained in this Agreement, and that they intend this Agreement to be the final and binding resolution of all matters set forth herein.

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