Employment Resignation Form Miami-Dade County
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MIAMI-DADE COUNTY
EMPLOYMENT RESIGNATION FORM
Last Name
First Name
Initial
Occupational Title
Department
Division
Section
Employee I.D.
Status
Dept.
Occ. Code
Div.
Loc.
(TO BE TYPED BY PERSONNEL CLERK)
I hereby tender my resignation from employment with Miami-Dade County government effective on the date entered
below. I DO ( ), DO NOT ( ), wish to withdraw any contributions to the retirement system which I am entitled to received.
My reason for resigning is stated below:
Signature
Effective Date of this Resignation
Date
I.D. Card Returned Yes (
) No (
)
Resignation Received By:
County Equipment Returned Yes (
) No (
)
Name
If Yes, list below:
Title
Date
Original-Personnel Dept. - Copy Departmental File
Sept. 2014 Miami-Dade Human Resources
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Parent category: Business