TO:

FROM:

DATE:

PLEASE BE NOTIFIED THAT UPON RECOMMENDATION OF:

_________________________________________ YOU ARE BEING
                (Supervisor’s Name)

TERMINATED FROM EMPLOYMENT IN: _____________________________________________________
                                                                                                           (Work Area)

EFFECTIVE: _________________________________________
                                                        (Date)

REASON FOR TERMINATION: ______________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________ 

NOTE: If you are in disagreement with any information given in the "Reason for Termination" section, you should note this disagreement to me in writing within 10 days of the date of this notice.