Employee Labor Release / Separation Form


  Employee Labor Release / Separation Form

(Forma de la Liberacion del Trabajo / Forma de la Separacion)

I, , understand that my services are no longer needed and/or desired by , at this time. My last day worked was:

Separation Reason

Client Statement:

Employee Statement:

Important: An employee’s Refusal to sign a Labor Release form upon completion of an assignment with a Client company will result in an employee’s ineligibility for further assignment with any other clients of Integrity HR Management. All employment relationships with IHRM will end on the day the employee refused to sign the Labor Release Form, and the employee will not be required to call in for further assignment.

IMPORTANTE: La rechazo de un empleado para firmar una la Forma de la Liberacion del Trabajo sobre la lerminacion de una tarea con una compania de cliente tendra como resultado la inegibilidad de un empleado para la tareas adicionales con otros clientes de Integrity HR Management. Todos los relaciones del empleo con IHRM terminaran en el dia que el empleado se niege a firmar la Forma de la Liberacion de Trabajo, y el empleado no sera requerido a llamar para la tareas adicionales.

EMPLOYEES PLEASE READ: My signature below does not indicate an admission of guilt but indicates my understanding that on the conclusion of my assignment, I will remain an employee of IHRM, and must contact IHRM at (830) 331-1300, by the end of the next business day and inform a Human Resources representative of my availability for continued employment and assignments. I am aware that I must contact IHRM office for any reason that my services are no longer required, to include if I am temporarily or permanently laid off, or if my work hours have been reduced. Failure to do so may affect my eligibility for unemployment benefits. I have received written instructions to call IHRM as stated above.

EMPLEADOS, FAVOR DE LEER: Mi firma abajo no indica ninguna admision de culpabilidad pero indica que entiendo que al concluirse mi asignacion, permancere como empleado de IHRM, y tengo que comunicarme con IHRM, (830) 331-1300. antes del fin del dia sigueinte y informarle a un representante de Recursos Humanos de mi disponibilidad para empleo y asignaciones adicionales. Estoy enterado que debo contactar a la oficina de IHRM para cualquier razon que mis Servicios ya no son requeridos, para incluir si soy temporalmente o permanentemente suspendido, o si mis horas de trabajo han sido reducidas. El fracaso de no hacerme disponible puede afectar mi elegibilidad para beneficios de desempleo. He recibido instrucciones escritas de llamar a IHRM como se ha describido antemano.

PROVIDE A COPY OF THIS FORM TO THE EMPLOYEE

Pursuant to Texas Senate Bill 51, failure to send this form to Integrity in a timely manner may result in Client being charged for uncollected premium.

Employee Signature

_______________________________

 

January 25, 2022

 

908 S. Main St. Boerne, TX 78006           O - 830.331.1300          08/2018 

 

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Signature Certificate
Document name: Employee Labor Release / Separation Form
lock iconUnique Document ID: 02d05359c50157e93618400dff92c5fcc5af3e33
Timestamp Audit
January 25, 2021 1:45 pm CSTEmployee Labor Release / Separation Form Uploaded by Kyleigh Halsey - kyleigh@integrityhrm.com IP 216.177.180.210
January 25, 2021 1:57 pm CSTMillie Springer - Millie@integrityhrm.com added by Kyleigh Halsey - kyleigh@integrityhrm.com as a CC'd Recipient Ip: 216.177.180.210
January 25, 2021 1:57 pm CSTEmployee Services - employee@integrityhrm.com added by Kyleigh Halsey - kyleigh@integrityhrm.com as a CC'd Recipient Ip: 216.177.180.210
January 25, 2021 2:03 pm CSTMillie Springer - Millie@integrityhrm.com added by Kyleigh Halsey - kyleigh@integrityhrm.com as a CC'd Recipient Ip: 216.177.180.210
January 25, 2021 2:03 pm CSTEmployee Services - employee@integrityhrm.com added by Kyleigh Halsey - kyleigh@integrityhrm.com as a CC'd Recipient Ip: 216.177.180.210
January 25, 2021 2:12 pm CSTMillie Springer - Millie@integrityhrm.com added by Kyleigh Halsey - kyleigh@integrityhrm.com as a CC'd Recipient Ip: 216.177.180.210
January 25, 2021 2:12 pm CSTEmployee Services - employee@integrityhrm.com added by Kyleigh Halsey - kyleigh@integrityhrm.com as a CC'd Recipient Ip: 216.177.180.210
January 25, 2021 2:20 pm CSTMillie Springer - Millie@integrityhrm.com added by Kyleigh Halsey - kyleigh@integrityhrm.com as a CC'd Recipient Ip: 216.177.180.210
January 25, 2021 2:20 pm CSTEmployee Services - employee@integrityhrm.com added by Kyleigh Halsey - kyleigh@integrityhrm.com as a CC'd Recipient Ip: 216.177.180.210
January 25, 2021 2:43 pm CSTMillie Springer - Millie@integrityhrm.com added by Kyleigh Halsey - kyleigh@integrityhrm.com as a CC'd Recipient Ip: 216.177.180.210
January 25, 2021 2:43 pm CSTEmployee Services - employee@integrityhrm.com added by Kyleigh Halsey - kyleigh@integrityhrm.com as a CC'd Recipient Ip: 216.177.180.210
January 26, 2021 10:32 am CSTMillie Springer - Millie@integrityhrm.com added by Kyleigh Halsey - kyleigh@integrityhrm.com as a CC'd Recipient Ip: 67.11.111.254
January 26, 2021 10:32 am CSTEmployee Services - employee@integrityhrm.com added by Kyleigh Halsey - kyleigh@integrityhrm.com as a CC'd Recipient Ip: 67.11.111.254
January 26, 2021 10:34 am CSTMillie Springer - Millie@integrityhrm.com added by Kyleigh Halsey - kyleigh@integrityhrm.com as a CC'd Recipient Ip: 67.11.111.254
January 26, 2021 10:34 am CSTEmployee Services - employee@integrityhrm.com added by Kyleigh Halsey - kyleigh@integrityhrm.com as a CC'd Recipient Ip: 67.11.111.254
January 26, 2021 3:18 pm CSTMillie Springer - Millie@integrityhrm.com added by Kyleigh Halsey - kyleigh@integrityhrm.com as a CC'd Recipient Ip: 67.11.111.254
January 26, 2021 3:18 pm CSTEmployee Services - employee@integrityhrm.com added by Kyleigh Halsey - kyleigh@integrityhrm.com as a CC'd Recipient Ip: 67.11.111.254
January 29, 2021 12:43 pm CSTMillie Springer - Millie@integrityhrm.com added by Kyleigh Halsey - kyleigh@integrityhrm.com as a CC'd Recipient Ip: 216.177.180.210
January 29, 2021 12:43 pm CSTEmployee Services - employee@integrityhrm.com added by Kyleigh Halsey - kyleigh@integrityhrm.com as a CC'd Recipient Ip: 216.177.180.210
February 2, 2021 10:00 am CSTMillie Springer - Millie@integrityhrm.com added by Kyleigh Halsey - kyleigh@integrityhrm.com as a CC'd Recipient Ip: 216.177.180.210
February 2, 2021 10:00 am CSTEmployee Services - employee@integrityhrm.com added by Kyleigh Halsey - kyleigh@integrityhrm.com as a CC'd Recipient Ip: 216.177.180.210
February 2, 2021 10:43 am CSTMillie Springer - Millie@integrityhrm.com added by Kyleigh Halsey - kyleigh@integrityhrm.com as a CC'd Recipient Ip: 216.177.180.210
February 2, 2021 10:43 am CSTEmployee Services - employee@integrityhrm.com added by Kyleigh Halsey - kyleigh@integrityhrm.com as a CC'd Recipient Ip: 216.177.180.210
February 8, 2021 1:22 pm CSTMillie Springer - Millie@integrityhrm.com added by Kyleigh Halsey - kyleigh@integrityhrm.com as a CC'd Recipient Ip: 216.177.180.210
February 8, 2021 1:22 pm CSTEmployee Services - employee@integrityhrm.com added by Kyleigh Halsey - kyleigh@integrityhrm.com as a CC'd Recipient Ip: 216.177.180.210
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