Employee release of employment form

Provo City School District
Employee Release of Employment Form
Date:
Provo City School District
Attn: HR Director
280 West 940 North
Provo, UT 84604
Dear Director:
I hereby submit this letter to separate my employment with the Provo City School
District.
My reason for separation is (please check one):
£
Retirement
£
End of School Year/Contract
£
Other Employment
£
Released from Employment
£
Continuing Education
£
Position Eliminated
£
Inadequate Salary
£
Reduction in Force
£
Moving
£
Temporary Position
£
Health Problems
£
Resigned
£
Schedule Conflict
£
Volunteer
£
Maternity
£
Other (please specify)
£
Needed at Home
My last day of service was/will be: ___________________________
Sincerely yours,
FOR OFFICE USE ONLY:
Principal/Program Director
Signature
Signature
Printed Name:
Employee ID Number:
Location
ms (rev. 3/15)