Employee Releases Document

EMPLOYEE RELEASES DOCUMENT

Personal Information

Position Information

Anticipated Start Date:   Proposed Annual Salary: $

Employment History (Most Recent Two)

Education

Professional References

Legal Disclosures

At-Will Employment Statement: Employment with the Company is at-will unless a written agreement signed by an authorized company representative expressly provides otherwise. Nothing in this document is intended to alter the at-will employment relationship absent an explicit written amendment.

Equal Opportunity Statement: The Company does not discriminate on the basis of race, color, religion, sex, national origin, age, disability, or any other category protected by applicable law. The Company is committed to providing equal employment opportunity.

Release of Claims and Related Agreements

In consideration of separation payments, benefits, or other consideration described below, the undersigned Employee releases, remises and forever discharges the Company, its parent, subsidiaries, affiliates, successors, assigns, agents, officers, directors and employees (collectively, the Released Parties) from any and all claims, demands, causes of action, suits, debts, liabilities, obligations, charges and expenses of every kind and nature, whether known or unknown, suspected or unsuspected, fixed or contingent, that the Employee may have or claim to have against the Released Parties arising out of or related to Employee's employment, separation from employment, or any conduct prior to the date of this Release, including but not limited to claims under federal, state or local statutes, common law, contract, tort, discrimination, harassment, wrongful termination, wage and hour laws, and any other claims.

Exceptions: This Release does not waive rights that cannot be waived by law, including the right to file for workers' compensation or unemployment insurance benefits or to pursue claims that cannot be released by private agreement under applicable law. The Employee acknowledges that they have read and understood the scope of this Release and that they are aware that this Release may include claims that are not known to them at the time of signing.

Consideration: As consideration for the promises and releases set forth herein, the Company shall provide to Employee: . Employee acknowledges receipt of sufficient consideration as set forth above.

Covenant Not to Sue: Employee covenants and agrees not to initiate, maintain or assist any claim, action or proceeding against the Released Parties based on any matter released by this Release. Employee further agrees to indemnify and hold harmless the Released Parties from any claims brought by third parties arising from statements made by Employee that contradict the release and covenant herein.

Authorization for Background and Reference Checks

I expressly authorize the Company and its agents to obtain consumer reports, investigative consumer reports, criminal history, credit history to the extent permitted by law, educational records, and verification of employment history from third-party sources for purposes of evaluating my employment eligibility, duties, continued employment, or separation. I understand that such reports may include information regarding my character, general reputation, personal characteristics and mode of living.

I authorize former employers, educational institutions, references and other third parties to release information about me to the Company. I hereby release and hold harmless all persons and entities providing information to the Company from any claims arising from the provision of such information in good faith.

Background and Reference Check Consent: I consent to the background and reference checks described above and authorize release of records and information to the Company and its agents.

Non-Disparagement and Confidentiality

Employee agrees not to make statements, written or oral, that disparage the Company or its officers, directors or employees. Employee further acknowledges that certain confidential and proprietary information learned during employment must be kept strictly confidential and that this confidentiality obligation survives termination of employment.

Notwithstanding the foregoing, nothing in this paragraph is intended to prevent Employee from making truthful statements to governmental authorities or as required by law.

Applicant Certification and Authorization

I certify that the information provided in this document is true, complete and correct to the best of my knowledge. I understand that any false statements, omissions, or misrepresentations may be grounds for denial of employment, discipline, or termination. I authorize the Company to verify the information contained herein and to contact any references or previous employers listed.

I acknowledge that I have been given the opportunity to review this Release, that I have been advised to consult with an attorney if I so choose, and that I am signing this Release voluntarily, knowingly, and without coercion.

By signing below, Employee acknowledges understanding and acceptance of all terms set forth in this Employee Releases Document.

Sign Now