Employee Severance Package

EMPLOYEE SEVERANCE PACKAGE

Parties and Recitals

This Employee Severance Package (the "Agreement") is made between Employer Name: located at Employer Address: and Employee Name: residing at Employee Address: . Employee's position at termination: . Termination date: .

Personal Information

Position Information

Employment History (most recent)

Education

References

Legal Disclosures

At-Will Employment: Employee acknowledges that Employee's prior employment relationship with Employer was at-will unless otherwise reduced to a separate written agreement signed by both parties, and that this Agreement does not alter any at-will relationship except as expressly provided herein.

Equal Opportunity: Employer represents that decisions reflected in this Agreement were made in accordance with applicable equal employment opportunity laws and policies. Employer does not admit liability by entering into this Agreement.

Severance Terms

Severance Payment: Employer agrees to provide Employee with a severance payment in the gross amount of $, subject to standard payroll tax and other lawful withholdings. Payment will be made as: .

Benefits Continuation: Employer will continue Employee's group health benefits for days following the termination date or provide a premium assistance payment of $, as applicable. Specific plan eligibility, costs and continuation options are governed by plan documents.

Accrued Leave and Expenses: Employer will pay Employee accrued but unpaid base salary, accrued vacation or paid time off in the amount of $ and reimburse substantiated business expenses submitted by Employee in accordance with Employer policy within days.

Release and Waiver of Claims

In consideration of the payments and benefits described in this Agreement, Employee, on behalf of Employee and Employee's heirs, executors and assigns, knowingly and voluntarily releases and forever discharges Employer and its parents, subsidiaries, affiliates, officers, directors, employees and agents from any and all claims, demands, causes of action, liabilities and damages of any kind or nature, whether known or unknown, arising out of facts occurring on or before the effective date of this Agreement, including but not limited to claims under federal, state or local law, contract, tort, or statute.

Employee acknowledges that Employee has had days to consider this Agreement and has been advised to consult with counsel prior to signing. Employee affirms that acceptance of this Agreement is voluntary and not the result of coercion.

I acknowledge that I have read, understand and agree to the Release and Waiver of Claims.

Confidentiality; Non-Disparagement

Confidentiality: Employee agrees to keep the terms and amount of this Agreement confidential, except as required by law, and not to disclose such information to any third party other than Employee's spouse, tax or legal advisor. Breach of this confidentiality provision entitles Employer to injunctive relief and recovery of damages.

Non-Disparagement: Employee agrees not to make false or disparaging statements, publicly or privately, about Employer, its products, services, employees, officers or directors. Employer agrees that it will not make false or disparaging statements about Employee's character or job performance.

I acknowledge that I understand and will comply with the confidentiality and non-disparagement obligations contained herein.

Return of Property; Cooperation

Employee agrees to return all Employer property, including keys, proprietary documents, laptops, phones, access cards and other tangible or intangible materials by Return Date: . Employee further agrees to reasonably cooperate with Employer after termination in connection with wind-down matters, audits, investigations and document preservation.

Tax Withholding; No Admission

Tax Withholding: All payments made under this Agreement will be subject to applicable federal, state and local tax withholding and other deductions as required by law. Employer makes no tax or legal representations and Employee is advised to seek independent tax advice.

No Admission of Liability: This Agreement is not and shall not be construed as an admission of liability or wrongdoing by Employer but is entered into solely for the purposes set forth herein.

Governing Law; Dispute Resolution

Governing Law: This Agreement shall be governed by and construed under the laws of the State of , without regard to its conflict of law rules. Any dispute arising under this Agreement shall be resolved by binding arbitration unless otherwise prohibited by applicable law.

Severability; Entire Agreement

If any provision of this Agreement is held invalid or unenforceable, the remaining provisions shall remain in full force and effect. This Agreement constitutes the entire agreement between the parties concerning the subject matter and supersedes all prior understandings, written or oral.

Employee Certification and Authorizations

I certify that I have provided accurate personal, employment and reference information to Employer and that such information is true and complete to the best of my knowledge. I authorize Employer to contact listed references and prior employers for purposes consistent with this Agreement and any required background verification. I consent to the release of employment records and information reasonably necessary to verify my employment history.

I authorize Employer to contact previous employers and references as described above.

Acknowledgement

By signing below, Employee acknowledges receipt of the consideration described herein, affirms that Employee has read and understands this Agreement, and accepts its terms knowingly and voluntarily.

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