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1. Employee Information: Full legal name, employee ID, SIN, contact details, and position title
2. Employer Information: Legal company name, business number, address, and contact information
3. Employment Period: Start date and last day of work
4. Reason for Separation: Clear statement of the reason for employment termination (e.g., layoff, resignation, dismissal)
5. Final Payment Details: Regular wages, vacation pay, and statutory holiday pay owing
6. Hours and Earnings: Total insurable hours worked and earnings in the last pay period
7. Confirmation of Documents Provided: List of documents provided to employee (ROE, T4, benefits information)
8. Authorization: Signature lines for employer representative with name, title, and date
1. Severance Package Details: Include when additional severance beyond statutory requirements is being provided
2. Continuation of Benefits: Include when there are post-employment benefit arrangements
3. Return of Company Property: Include when employee needs to return specific company items
4. Non-Competition/Non-Solicitation: Include when reminding employee of ongoing obligations
5. Reference Arrangement: Include when specific reference arrangements have been agreed upon
6. Outstanding Loans/Advances: Include when there are outstanding financial obligations to be settled
7. Special Arrangements: Include when there are unique agreements or accommodations made
1. Schedule A - Final Payment Calculation: Detailed breakdown of all final payments including regular wages, vacation pay, statutory holiday pay, and severance if applicable
2. Schedule B - Benefits Summary: Detailed information about benefit coverage, termination dates, and conversion options
3. Schedule C - Company Property Checklist: Itemized list of company property to be returned
4. Appendix 1 - Relevant Employment Standards: Summary of applicable employment standards information regarding separation
5. Appendix 2 - Post-Employment Obligations: Detailed reminder of continuing obligations such as confidentiality and non-competition if applicable
Employee
Employment Period
Termination Date
Last Day Worked
Final Pay Period
Insurable Hours
Insurable Earnings
Regular Wages
Overtime Pay
Vacation Pay
Statutory Holiday Pay
Severance Pay
Notice Period
Benefits
Group Insurance Plans
Pension Plan
Company Property
Confidential Information
Intellectual Property
Record of Employment
Employment Insurance
Cause
Resignation
Layoff
Retirement
Misconduct
Final Release
Governing Law
Province of Employment
Termination Details
Final Compensation
Statutory Entitlements
Benefits Termination
Company Property Return
Confidentiality
Non-Disclosure
Non-Competition
Non-Solicitation
Intellectual Property Rights
Reference Provision
Release of Claims
Continuing Obligations
Tax Implications
Employment Insurance
Governing Law
Severance Payment
Pension and Benefits
Record Keeping
Data Privacy
Authorization
Acknowledgment
Manufacturing
Technology
Retail
Financial Services
Healthcare
Education
Construction
Professional Services
Hospitality
Transportation
Energy
Mining
Agriculture
Government
Non-Profit
Human Resources
Legal
Payroll
Finance
Employee Relations
People Operations
Compliance
Benefits Administration
Human Resources Director
HR Manager
HR Coordinator
Payroll Manager
Payroll Specialist
Legal Counsel
Employment Lawyer
Benefits Administrator
HR Business Partner
People Operations Manager
HR Compliance Specialist
Employee Relations Manager
HR Operations Manager
Chief Human Resources Officer
HR Administrator
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