Severance Agreement Acknowledgment Form

Severance Agreement Acknowledgment Form — Form Fields

This hr template includes 9 fields. Collect employee acknowledgment of a severance package offer including terms and acceptance deadline. Free to customize and use on ZenBuild.

• Employee Full Name (text, required)
• Employee ID (text, required)
• Personal Email Address (email, required)
• Last Day of Employment (text, required)
• Date Severance Agreement Was Provided (text, required)
• Have you had the opportunity to review the severance agreement? (multiple choice, required) — options: Yes - fully reviewed, Yes - partially reviewed, No - need more time
• Do you wish to consult with an attorney before signing? (multiple choice, required) — options: Yes, No
• I accept the terms of the severance agreement (multiple choice, required) — options: Yes - I accept, No - I decline, I need additional time to decide
• Questions or concerns for HR (long text, optional)