The Employment Separation Form is a crucial document used across Canadian businesses to formally document the end of an employment relationship, whether through resignation, termination, or retirement. This document ensures compliance with both federal and provincial employment standards legislation, including the Canada Labour Code and provincial Employment Standards Acts. It serves multiple purposes: documenting the reason for separation, calculating final payments, recording the return of company property, and confirming any post-employment obligations. The form is designed to protect both employer and employee interests while creating a clear record of the separation terms and conditions. It includes specific sections for statutory requirements such as notice periods and severance calculations, making it an essential tool for proper employment termination documentation in Canadian jurisdictions.
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1. Employee Information: Basic details including employee name, ID number, position, department, and duration of employment
2. Employer Information: Company details including legal name, address, and authorized representative
3. Separation Details: Last day of employment, type of separation (resignation, termination, layoff), and reason for separation
4. Notice Period: Details of notice given or payment in lieu of notice
5. Final Pay Calculation: Breakdown of final payment including regular wages, vacation pay, and other entitlements
6. Company Property: List of company property to be returned and confirmation of return
7. Confidentiality Reminder: Reminder of ongoing obligations regarding confidential information
8. Signatures: Space for employee and employer representative signatures and date
1. Severance Package: Details of any additional severance payment beyond statutory requirements - include when offering enhanced severance
2. Benefits Continuation: Information about post-employment benefits continuation or conversion - include when applicable benefits exist
3. Release Agreement Reference: Reference to any separate release agreement - include when a release is being requested
4. Outplacement Services: Details of any career transition support offered - include when providing such services
5. Non-Compete/Non-Solicitation: Reminder of any post-employment restrictions - include when such agreements exist
6. Reference Letter: Terms of reference letter provision - include when agreed to provide references
7. Outstanding Loans/Advances: Details of any amounts owed to the company - include when applicable
1. Schedule A - Final Payment Calculation: Detailed breakdown of all final payments including regular wages, vacation pay, statutory severance, and any additional payments
2. Schedule B - Benefits Summary: Detailed information about benefit termination dates and conversion options
3. Schedule C - Company Property Checklist: Itemized list of company property to be returned
4. Appendix 1 - Record of Employment Details: Information to be included on the ROE for Service Canada
5. Appendix 2 - Post-Employment Contact Information: Form for employee to provide updated contact information for T4 and other post-employment communications
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