Employment Termination Certificate

EMPLOYMENT TERMINATION CERTIFICATE

This Employment Termination Certificate is executed as of by and between Employer Name: (Employer) and Employee Name: (Employee).

RECITALS

WHEREAS, Employer employed Employee in the capacity of commencing on ;

WHEREAS, employment between Employer and Employee terminated effective , with last day worked ;

WHEREAS, Employer issues this Certificate to document the facts and administrative arrangements surrounding the termination of employment.

NOW, THEREFORE

Employer hereby certifies the following statements to be true and accurate:

1. EMPLOYMENT DETAILS

2. REASON FOR TERMINATION

The termination was for the following reason(s) (check all that apply):

Resignation (voluntary)

Termination for cause (disciplinary or performance reasons)

Layoff / Reduction in force

Mutual agreement / Separation agreement

End of fixed-term contract

Other:

3. FINAL COMPENSATION AND BENEFITS

Employee's eligibility for unemployment insurance or benefits is determined by the relevant authority; Employer's statement regarding separation is factual and not a determination of eligibility.

4. RETURN OF PROPERTY

Employer certifies that the items listed above have been returned or that arrangements to recover outstanding items have been documented.

5. CONFIDENTIALITY AND POST-EMPLOYMENT OBLIGATIONS

Employee acknowledges continuing obligations, if any, under confidentiality, non-disclosure, non-solicitation, or restrictive covenants contained in prior written agreements with Employer. Employee further acknowledges that such obligations survive termination to the extent permitted by law.

Employee confirms (check applicable):

Employee acknowledges the existence of continuing confidentiality obligations.

Employee acknowledges any valid non-compete obligation disclosed in a prior written agreement.

6. REHIRE ELIGIBILITY AND REFERENCES

Employer's statement concerning rehire eligibility (check one):

Eligible for rehire

Not eligible for rehire

7. NOTICES

Notices under this Certificate shall be delivered to the addresses above by hand delivery, certified mail, or other method that provides evidence of delivery and shall be effective upon receipt.

8. GOVERNING LAW; ENTIRE AGREEMENT; SEVERABILITY

This Certificate shall be governed by and construed in accordance with the laws of the state of , without regard to conflict of law principles.

This Certificate constitutes the entire written record of the matters certified herein and supersedes any prior written statements specifically addressing the facts of termination. To the extent any separate agreement between the parties governs post-termination obligations, the terms of such written agreement shall continue to govern those specific obligations.

If any provision of this Certificate is held invalid or unenforceable, the remainder of this Certificate shall remain in full force and effect and shall be construed to effectuate the intent of the parties to the fullest extent permitted by law.

9. AMENDMENT; WAIVER; COUNTERPARTS

No amendment, modification or waiver of any provision of this Certificate shall be effective unless in writing and signed by both Employer and Employee. Failure to enforce any provision shall not constitute a waiver of future enforcement.

This Certificate may be executed in counterparts, each of which shall be deemed an original, and all of which together shall constitute one instrument.

10. CERTIFICATION

The undersigned certify that the information set forth in this Employment Termination Certificate is true, complete and correct to the best of their knowledge and that they are authorized to execute this Certificate on behalf of the respective parties.

Sign Now