Employee Separation Form - Paysmart

Employee Separation
Business Name*
Employee Name*
Termination Date*
Date Format: MM slash DD slash YYYY
Final Check Date*
Date Format: MM slash DD slash YYYY
Will PTO/Vacation/Sick be paid out?*
- Yes
- No
Should all deductions be taken from the final check?*
- Yes
- No
Should the final check be live or direct deposit?*
- Live
- Direct Deposit
Should the full salary be paid if salaried?*
- Yes
- No
Additional Notes
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