Employment Termination Agreement Page 2

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2.02
Date of Termination
The Employee shall terminate (or: has terminated) his employment as of the
............................. (hereafter called the "Termination Date").
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2.03
Notice
The Employee acknowledges having received a ........... (.....) weeks written notice from
the Employer prior to the Termination Date, as required by law.
OR
The Employer acknowledges having received a ........... (.....) week written notice from the
Employee prior to the Termination Date, as required by law.
OR
The Employee acknowledges having received from the Employer a sum of ............
dollars ($.......) representing ............... (......) weeks of salary, minus statutory payroll
taxes. This amount is in lieu of any termination notice and of any departure indemnity
which may be applicable to this matter.
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4
2.04
Amounts Owing to the Employee
The Employee acknowledges having received from the Employer all amounts that may
have been owed to him, after deduction of statutory payroll taxes. More specifically, but
without limitation, the Employee acknowledges having received the following amounts
(specify for each item):
a) salary:
......................... dollars ($..............)
b) commissions:
......................... dollars ($..............)
c) performance bonus:
......................... dollars ($..............)
d) profit sharing plan:
......................... dollars ($..............)
e) accumulated vacations days:
......................... dollars ($..............)
f) accumulated sick days:
......................... dollars ($..............)
g) accumulated holidays:
......................... dollars ($..............)
h) reimbursement of expenses:
......................... dollars ($..............)
i)
automobile allowance:
......................... dollars ($..............)
j)
.....................................:
..........................dollars ($..............)
2.05
Amounts Owing to the Employer
The Employer acknowledges having received from the Employee all amounts that may
have been owed to him.
More specifically, but without limitation, the Employer
acknowledges having received the following amounts (specify for each item):
a) loan:
........................... dollars ($..............)
b) exceeding advances on salary or commissions: ........................... dollars ($..............)
c) petty cash loan:
........................... dollars ($..............)
d) merchandise purchased from the Employer:
........................... dollars ($..............)
e) Employer’s credit card (personal purchases):
........................... dollars ($..............)
f) .................................:
........................... dollars ($..............)
2.06
Pension Plan
Amounts currently accumulated in the Employee’s pension plan are ...............dollars
($......). Within a maximum delay of .......... (......) days from the date of signing of this
Agreement, this amount shall be transferred to ....................., following the Employee’s
request.
Employer
Employee
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