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

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Parent category: Business