Voluntary Resignation Acceptance Form
Employee Name (Print): _________________________________________________
This is to acknowledge and accept your resignation as (position)________________ in
(department)____________ received on (date)___________. You have indicated that
your anticipated last working day is (date).
This notice will be forwarded to the Department Director and Human Resources to begin
the process for a smooth transition period. The company is interested in learning of the
reasons why employees leave and the exit interview is an important component of that
learning process. Upon receipt of this notice, Human Resources will send you an exit
survey and will contact you to schedule a confidential exit interview.
Supervisor name Date
Employee name Date