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Fillable Printable Sample Termination Template

Fillable Printable Sample Termination Template

Sample Termination Template

Sample Termination Template

STRICTLY CONFIDENTIAL
WITHOUT PREJUDICE
DATE
NAME
ADDRESS
Dear NAME:
ThisistoadviseyouthatyouremploymentwithCLINICNAMEwillterminateeffective
DATE,dueto(reasonsdiscussedinourmeetingheldDATE;or,youmayoptnotto
provide a reason). This termination is without cause.
We willprovideyouwithterminationpayandaseverancepackage(removeseverance
packageifnotapplicable),thedetailsofwhichareoutlinedintheattachedTermination
Agreement,(AppendixA).Thisamountisinclusiveofanypayments,statutoryor
otherwise, which may be owed to you under theOntario Employment Standards Act.
[Note: you also have the option of providing employees with working notice]
This termination agreement is open for your review and acceptance until DATE.
Wewouldalsoliketotakethisopportunitytoremindyouthat,notwithstandingthe
terminationofyouremploymentwiththeCLINICNAME,certainofyourobligations
under your employment contract and other agreements that you may have signed during
youremploymentwiththeCompanycontinue.Theseobligationsinclude,butmaynot
belimitedto,obligationsofconfidentialityandobligationsrelatingtoanyintellectual
property to which you may have contributed while employed by CLINIC NAME.
Ifyouhaveanyquestionsconcerningtheinformationcontainedinthisletter,please
contact me directly.
Sincerely,
NAME
TITLE
I, NAME, hereby accept the terms set out in Appendix A, in full and final satisfaction of
any claims that I may have.
______________________________________________________
SignatureDate
Note: A signature is not required if entitlements are the minimum set forth by the
Employment Standards Act. In this case, remove the signature field from the letter.
APPENDIX A
Termination Agreement Between
CLINIC NAME and NAME
ThisAgreementconfirmsthecircumstancessurroundingtheterminationofyour
employment with COMPANY, known as CLINIC NAME.
1. Termination Date
Your employment with CLINIC NAME will terminate effective DATE.
2. Notice
CLINIC NAMEwill provide you witha lump sumpaymentequal toNUMBER(X)
week’s base salary,representing your notice and entitlement as prescribed under
theEmploymentStandardsAct,2000.Paymentwillbemadethroughtheusual
means as part of the DATE pay cycle.
OR
TheperiodbetweenTODAY’SDATEandTERMINATIONDATEisreferred to in
thisagreementasthe“noticeperiod”. Duringthenoticeperiod youremployment
status will remain unchanged.
3.Severance[NOTE:Dependingonthelengthofservicethisclausemaynotbe
necessary]
COMPANYwillprovideyouwithalumpsumpaymentequaltoNUMBER(X)
basesalary,representingyourseveranceandentitlementasprescribedunder
the Employment Standards Act, 2000.
4. Vacation
Anyoutstandingvacationowingwillbepaidtoyouasalumpsum,lessapplicable
statutory deductions. Payment will be paid through the usual means as part of theDATE
pay cycle.
5. Group Benefits [Note: Remove this section if you do not offer group benefits]
Your group benefits coverage will continue for NUMBER (X)of weeks. (should be same
asthenumberin2) Youhavetheoptionofconvertingyourlifeinsurancetoan
individualpolicy,aslongasitisdonewithin NUMBER(X) (dependsonyourlife
insuranceplan)daysafterTERMINATIONDATE.[NOTE:this isa legal requirement
if you offer life insurance under your group plan]
6. Additional Payment [NOTE: Depending on the terms of the applicable
employmentcontract,anadditionalamountmaynotbenecessaryordesired.
Legal advice should be sought on this point]
Inadditiontotheaboveitemsandconditionaluponthesigningandreturningofthe
attachedFullandFinalRelease,theCompanyispleasedtoprovideyouwiththe
following additional assistance:
a)AnadditionalpaymentequaltoanadditionalNUMBER(X)(numberof
additionalweeks)weeksofbasesalarypaidthroughtheusualmeanson
DATE”OR“THECOMPANY’SREGULARLYSCHEDULEDPAYROLL
CYCLE OVER THE NEXT NUMBER (X) WEEKS”
b)Yourcurrentbenefits,withtheexceptionof(nameanyexcludedbenefits),
will continue for an additionalNUMBER(X)(should be thesame as 6(a))of
weeks oruntilyou obtainalternate employmentorcommence participationin
a business interest, whichever occurs first.
TheoffercontainedinSection6isconditionaluponyouragreementtokeeptheterms
hereofstrictlyconfidential.Youmayonlydisclosethetermsofthisoffertoyour
immediatefamilymembersandyourlegalandfinancialadvisors.Anyunauthorized
disclosure of the terms of this offer shall immediately terminate the offer.
7. Expenses [Note: Remove this section if it is not applicable]
CLINICNAMEwillreimburseyouforallreasonablebusinessexpensesincurred,upto
andincluding(TERMINATIONDATE),providedyousubmitappropriateformsand
supporting original receipts no later than XX days from this date.
8. Record of Employment
YourRecordofEmploymentwillbeprovidedtoyounolaterthan5daysafterthelast
payment madeto youbythe Company under theterms hereof. Youwill needto present
thisformtoyourlocalHumanResourcesandSkillsDevelopmentCanada(HRSDC)in
the event that you qualify for employment insurance benefits.
9. Change of Address
In the event that you change your address, please notifyNAME atPHONE# or via email
at XX@XX.CA so that we can arrange to forward your 20XX T4 to the correct address.
10. References
Atyourrequest,wewillprovideyouwithaletterconfirmingyouremploymentwith
CLINIC NAME, according to our usual practices.
11. Return of Company Property
Upon termination of your employment, you are required to return allCOMPANYproperty
and material in your possession and are not to retain copies of such materials.
12. Release
Any additional payments (above the minimum statutory legislation) is conditional upon
your having signed, witnessed dated and returned the attached copy of this letter and
the Release form (Appendix B) to NAME by DATE.
RELEASE
WHEREASthe undersigned(theReleasor”)wasanemployeeof[CLINICNAME](the
Company”);
AND WHEREAS the Releasor’s employment with the Company has been terminated,
NOWTHEREFORETHISAGREEMENTWITNESSETH thatinconsiderationofthe
Company’soffertoprovidepaymentstotheReleasoroverandabovetheReleasor’s
statutoryentitlement,and forothervaluableconsideration,thereceiptand sufficiencyof
which is hereby acknowledged, the Releasor covenants and agrees as follows:
1. FULL AND FINAL RELEASE
TheReleasordoesherebyreleaseandforever dischargetheCompany,its successors,
administrators, assigns, affiliates and related companies, and their directors, officers and
employees (the ReleasedParties”) of and from all actions, causes of action,damages,
claims, cross claims and demands whatsoever, (including all damage, loss and injury not
nowknownoranticipatedbutwhichmayariseinthefutureandalleffectsand
consequencesthereof),howeverandwhereverarising,whichtheReleasorhad,now
has, or which the Releasor, its heirs, administrators and assigns or any of them hereafter
can,shall or mayhaveinrespectoftheReleasor’semploymentbytheCompanyorthe
termination thereof.
TheReleasorfurtheragreesnottomakeorcontinueanyclaimor takeorcontinueany
proceedingagainsttheReleasedPartiesinCanadaorelsewhereintheworld,with
respecttotheemploymentoftheReleasorbytheCompanyorwithrespecttothe
termination of the Releasor’s employment.
TheReleasorwarrantsthattheReleasorhasdisclosedtotheCompanyanyandall
humanrightscomplaints,concernsorissuesarisingoutoforinrespectofthe
Releasor’semploymentattheCompany.TheReleasorconfirmsthattheReleasoris
aware of the Releaser’s rights under the Human Rights Code (Ontario) and warrants that
theReleasorknowsofnoviolationoftheReleasor’srightsundertheHumanRights
Code(Ontario)duringthetermoftheReleasor’semploymentwiththeCompanyandis
notassertinganyrightsoradvancinganyhumanrightsclaimorcomplaintpursuantto
the Human Rights Code (Ontario).
Itisunderstoodandagreedthatboththisreleaseandanyconsiderationtransferred
hereunderaredeemedtobenoadmissionwhatsoeverofliabilityonthepartofthe
Released Parties.
2. CONFIDENTIALITY UNDERTAKING
TheReleasor,intendingtobelegallybound,herebyfurtheragreesandundertakesto
protect in strict confidence, andnot to use ordisclose, any and all information relatingto
the terms and the fact of this Release.
ItisfurtherunderstoodthattheReleasorwillcontinuetobeboundbyanyandall
confidentialityagreementssignedbytheReleasorwhileintheemployoftheCompany,
and the Releasor recognizes that the full force of penalties and consequences pertaining
to the breach of said agreements remain in full force.
3. BENEFIT OF RELEASE, AGREEMENT AND UNDERTAKING
ItisunderstoodandagreedthatthisReleaseshallenure tothebenefitof theReleased
Parties and shallbe bindingon the Releasor, the Releasor’s successors, administrators,
assigns, affiliates and related companies.
TheReleasor’sacknowledgesthat thesigningofthisReleaseisnotaconditionforthe
ReleasortoreceiveanymoneytowhichtheReleasorwouldotherwisebe entitled toby
operation of statute.
TheReleasorherebydeclaresthatitfullyunderstandsthetermsofthissettlement,has
hadtheopportunitytoobtainindependentlegalrepresentationinconnectionwiththis
Releaseandthatitvoluntarilyacceptssameforthepurposeofmakingfullandfinal
compromise,adjustmentandsettlementofallclaimsasaforesaid,whetherarisingby
force of contract, at common law, or under applicable statutes.
INWITNESSWHEREOFthisagreementhasbeenexecutedbeforetheundersigned
witness by the Releasor on the ____ day of ______________, 20XX.
SIGNED, SEALED AND DELIVERED
)
SIGNED in the presence of )
)
)
)
__________________________)_____________________________
WITNESS )RELEASOR
Name:)Name:
)
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