Employee Voluntary Waiver

EMPLOYEE VOLUNTARY WAIVER

Parties and Effective Date

This Employee Voluntary Waiver ("Waiver") is entered into between Employer Name: and Employee Name: . The Effective Date of this Waiver is: .

Personal Information

Position Information

Employee Start Date:   |   Current Base Salary (if applicable): $

Employment History (most recent)

Dates Employed: From to

Dates Employed: From to

Education

Graduation Date:

References (Professional)

Waiver and Release (Substantive)

In consideration of the mutual covenants and other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, Employee knowingly, voluntarily, and irrevocably waives, releases, and forever discharges Employer, its subsidiaries, affiliates, officers, directors, employees, agents, insurers and successors from any and all claims, causes of action, demands, liabilities, losses, demands, suits, or other proceedings of any kind whatsoever, whether known or unknown, suspected or unsuspected, that Employee has, may have had, or may hereafter claim to have arising out of or relating to Employee's employment or separation from employment through the Effective Date stated above. This Release includes, without limitation, claims under federal, state or local statutes, regulations, common law, contract, tort, and any claims for wages, benefits, bonuses, wrongful termination, discrimination, harassment, retaliation, or other employment-related claims.

Employee expressly acknowledges and agrees that this Waiver is intended to be interpreted broadly and that Employee is waiving all claims that could be asserted against Employer to the fullest extent permitted by law. This Waiver does not apply to rights that cannot be waived as a matter of law, including claims that by law are non-waivable.

Consideration; Voluntariness; Acknowledgment

Employee acknowledges receipt of adequate consideration in exchange for this Waiver as detailed here: Consideration Description: . Employee represents that Employee has read and understands all terms of this Waiver, has had the opportunity to ask questions and consult with an advisor or attorney of Employee's choice, and executes this Waiver voluntarily and without coercion, undue influence, or duress.

Employee affirms that Employee: Voluntarily signs: Had opportunity to consult counsel:

Confidentiality and Non-Admission

The parties agree that neither this Waiver nor the terms hereof shall be construed as an admission of liability, wrongdoing, or unlawful conduct by any party. Unless otherwise required by law or as specified in writing below, Employee agrees to keep the terms of this Waiver strictly confidential. Exceptions to confidentiality (if any):

Authorization to Contact and Background Checks

Employee authorizes Employer to contact past and present employers, references, educational institutions and any other entities as necessary to verify information provided by Employee. Employee further authorizes Employer to conduct lawful background checks and investigations consistent with applicable law. Employee consents to such inquiries and releases those entities and persons from liability for furnishing such information.

Authorization granted:

At-Will Employment; Equal Opportunity

Nothing in this Waiver alters the at-will nature of Employee's employment, if applicable, which means Employee or Employer may terminate the employment relationship at any time, with or without cause and with or without notice, unless a separate written agreement provides otherwise. Employer is an equal opportunity employer and does not discriminate on the basis of protected characteristics.

Severability; Governing Law

If any provision of this Waiver is found to be invalid or unenforceable, the remainder of this Waiver shall remain in full force and effect and the invalid provision shall be reformed only to the extent necessary to make it enforceable. This Waiver shall be governed by and construed in accordance with the laws of the state or jurisdiction where Employer's principal place of business is located, without regard to conflict of law principles.

Employee Certification

I certify that all information provided in this form and in connection with this Waiver is true, complete, and accurate to the best of my knowledge. I understand that knowingly providing false information may be grounds for disciplinary action up to and including termination and may affect the enforceability of this Waiver.

Acknowledgment and Acceptance

By signing below, Employee acknowledges that Employee has read this Waiver in its entirety, understands its terms, and knowingly and voluntarily accepts its provisions. Employee further acknowledges receipt of the consideration described above and agrees that this Waiver will be binding upon Employee and Employee's heirs, executors, administrators and assigns.

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