Will the Employee receive payment as part of this Agreement? Will the Employee receive payment as part of this Agreement? Yes, payment is involved (most common)No, payment is not involved Such as a 1-time payment or a severance package. The Employer agrees to pay Severance as a The Employer agrees to pay Severance as a Single Payment (most common)Multiple Payments (continuation of pay or salary) Severance is paying a former employee after they no longer work for the Employer. Payment Amount $ Enter the Payment Amount $ Payments shall be made on a Payments shall be made on a WeeklyBi-WeeklyMonthlyOther Payments shall be made on a Basis Payments shall end on Will there be ANY OTHER severance? Will there be ANY OTHER severance? YesNo Examples: Company Property (equipment, computers, etc.), Ownership in the Company, an Additional Cash Payment, etc. The Employee shall be due the following: Will the Employee be required to return any Company Property? Will the Employee be required to return any Company Property? Yes (most common)No Such as tools, laptops, phones, etc. Is there any Company Property you would like to specify? Is there any Company Property you would like to specify? YesNo Specify the Company Property: List all Company Property that is required to be returned by the Employee. Company Property must be returned by Will the Employee's Benefits terminate on their Last Day? Will the Employee's Benefits terminate on their Last Day? YesNo Employee's Benefits will be valid until Is the Employee able to work in the same industry IMMEDIATELY AFTER termination? Is the Employee able to work in the same industry IMMEDIATELY AFTER termination? YesNo If No, a Non-Compete clause would be added Employee will be prohibited from working in the following industries: Term of Non-Compete Select Interval Select Interval Day(s)Month(s)Year(s) The Non-Compete covers The Non-Compete covers _____ Miles from a Location (radius)a U.S. StateNationwide (United States)Worldwide (International) Which State does the Non-Compete cover? Please SelectAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWashington DCWest VirginiaWisconsinWyoming Non-Compete shall cover Miles Is the Location the SAME as the Employer's Address? Is the Location the SAME as the Employer's Address? Yes, Same AddressNo, Different AddressNo, I will enter it later. Non-Compete Address Street Address Address Line 2 City Please SelectAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWashington DCWest VirginiaWisconsinWyoming State ZIP Code This Address will be the center-point of where the Employee may not enter into the same or similar business of the Employer. Who is the EMPLOYEE being terminated? Enter the employee's name. Do you know the Employee's mailing address? Do you know the Employee's mailing address? YesNo, I will enter it later. Employee's Mailing Address Street Address Address Line 2 City Please SelectAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWashington DCWest VirginiaWisconsinWyoming State ZIP Code What's the Employer's name? Enter the full legal name of the company. Do you know the Employer's mailing address? Do you know the Employer's mailing address? YesNo, I will enter it later. Employer's Address (main office) Street Address Address Line 2 City Please SelectAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWashington DCWest VirginiaWisconsinWyoming State ZIP Code Who will sign on behalf of the Employer? Usually the employee's supervisor or an officer of the company. Role in the Company Role in the Company PresidentCEOOfficerMemberVice PresidentOther Role in the Company Do you know the date the Employee was paid through? Do you know the date the Employee was paid through? YesNo, I will enter it later. When was the Employee LAST PAID? When is/was the LAST DAY of the employee? Are there any Additional Terms or Conditions? Are there any Additional Terms or Conditions? YesNo If there is any additional language the parties would like to include in the Agreement. What are the additional terms or conditions? Will this Agreement be governed by California law? Will this Agreement be governed by California law? YesNo This Agreement is governed by the state where the Employer is located. If that's California, a legally required Civil Code § 1542 waiver clause will be added to the document. Effective Date of this Agreement Usually today's date. Next Save Save and finish later
