EMPLOYMENT SEPARATION AGREEMENT
I. The Parties. This Employment Separation Agreement (“Agreement”) is made and entered
into on _________________, 20____ (“Effective Date”) by _________________ (“Employer”)
with a mailing address of _________________ City of _________________ State of
_________________ and _________________ (“Employee”) with a mailing address of
_________________ City of _________________ State of _________________.
Collectively the Employer and Employee shall be known as the “Parties”. It is known that the
Parties wish to separate and discontinue their employment relationship in an amicable manner.
Now, therefore, in consideration of the mutual promises and covenants contained herein, it is
agreed as follows:
II. Employment Status. The Parties acknowledge that the last day of employment shall be
_________________, 20____ (“Employee’s Last Day”). The Employer has paid the Employee
all payments due through _________________, 20____ and all standard deductions and