HR Settlement Document

HR SETTLEMENT AGREEMENT

This HR Settlement Agreement ("Agreement") is entered into by and between Employer Name: and Employee Name: on this Effective Date: . The parties agree to the terms and conditions set forth below to settle all employment-related matters arising prior to the Effective Date.

Personal Information

Position and Separation Information

Hire Date:     Date of Separation:     Final Base Salary (annual): $

Settlement Payment Terms

Payment Type:

Withholding: The settlement amount will be processed as indicated below. The Employer will withhold required statutory deductions for taxes and other withholdings where applicable. Employer will:

Release and Waiver

In consideration of the payments and benefits described above, Employee hereby releases and forever discharges Employer, its parent, affiliates, subsidiaries, officers, directors, agents, employees and successors from any and all claims, demands, causes of action, liabilities or obligations of every nature, whether known or unknown, asserted or unasserted, arising from Employee's employment or separation prior to the Effective Date. Employee acknowledges that this release includes, without limitation, claims under all federal, state and local statutes, tort claims, contract claims, and any other legal or equitable claims.

Confidentiality and Non-Disparagement

Employee agrees not to disclose the terms, amount, or existence of this Agreement except as required by law or to Employee's tax or legal advisors who agree to keep such information confidential. Employee further agrees not to make any false, disparaging or derogatory statements concerning Employer, its officers, directors or employees. Employer agrees not to make disparaging statements about Employee. Breach of confidentiality or non-disparagement will entitle the non-breaching party to injunctive relief and damages.

Return of Property and Cooperation

Employee certifies that all Employer property, including electronic devices, documents, access badges, keys and confidential information has been returned to Employer, or will be returned no later than: . Employee agrees to cooperate with Employer on reasonable transitional matters for a period of following the Effective Date.

Employment History (Most Recent Employers)

Title:    Dates Employed: From To

Title:    Dates Employed: From To

Education

References

Phone:    Email:    Relationship:

Phone:    Email:    Relationship:

Phone:    Email:    Relationship:

Legal Disclosures

At-Will Employment: Nothing in this Agreement creates a guarantee of continued employment, except as expressly set forth herein. To the extent Employee remains employed during any payment period described in this Agreement, such employment shall remain at-will.

Equal Opportunity: Employer affirms its commitment to equal employment opportunity and non-discrimination. This Agreement does not constitute an admission of liability by either party.

Authorization and Certifications

Authorization: Employee authorizes Employer to verify employment history as reasonably necessary to effect the terms of this Agreement and to contact listed references. Please indicate consent: I consent

Background Check Authorization: Employee acknowledges whether a background check has been completed and authorizes any additional background or reference checks reasonably necessary to process payments: I authorize

Acknowledgement of Review: Employee acknowledges having been given adequate time to review this Agreement and to seek the advice of counsel of Employee's choosing prior to signing. Employee further acknowledges that no promises or representations have been made except as set forth herein.

Miscellaneous

Governing Law: This Agreement will be governed by and construed in accordance with the laws of the jurisdiction in which Employer's principal place of business is located, without regard to conflict of laws principles.

Entire Agreement: This Agreement constitutes the entire agreement between the parties concerning the subject matter hereof and supersedes all prior agreements, understandings and negotiations, whether written or oral, relating thereto.

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