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EMPLOYEE LEAVING FORM Employer Name ............................................................................... EMPLOYEE DETAILS: Title (eg Mr) ............................................................................... Surname ............................................................................... Forename 1 (in full) ............................................................................... Forename 2 (in full) ............................................................................... Gender Male/Female Address ............................................................................... ............................................................................... ............................................................................... ............................................................................... Post Code ............................................................................... Date of Birth ......................./.........................../........................ National Insurance Number ............................................................................... EMPLOYMENT DETAILS: Leave Date ............................................................................... Reason for Termination Resignation/Retirement/Redundancy/Dismissal/Other Outstanding Holiday Pay (Amount due) Yes/No ............................................................ Signature of Employer ............................................................................... Date ...............................................................................

EMPLOYEE LEAVING FORM - Payman.co.uk Ltd · EMPLOYEE LEAVING FORM Employer Name ..... EMPLOYEE DETAILS: Title (eg Mr ... 4/1/2016 10:32:26 AM

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Page 1: EMPLOYEE LEAVING FORM - Payman.co.uk Ltd · EMPLOYEE LEAVING FORM Employer Name ..... EMPLOYEE DETAILS: Title (eg Mr ... 4/1/2016 10:32:26 AM

EMPLOYEE LEAVING FORM

Employer Name ...............................................................................

EMPLOYEE DETAILS:

Title (eg Mr) ...............................................................................

Surname ...............................................................................

Forename 1 (in full) ...............................................................................

Forename 2 (in full) ...............................................................................

Gender Male/Female

Address ...............................................................................

...............................................................................

...............................................................................

...............................................................................

Post Code ...............................................................................

Date of Birth ......................./.........................../........................

National Insurance Number ...............................................................................

EMPLOYMENT DETAILS:

Leave Date ...............................................................................

Reason for Termination Resignation/Retirement/Redundancy/Dismissal/Other

Outstanding Holiday Pay (Amount due) Yes/No ............................................................

Signature of Employer ...............................................................................

Date ...............................................................................

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