Employee Letter of Resignation Form - Tennessee

This fillable "Employee Letter of Resignation Form" is a document issued by the Tennessee Department of Human Services specifically for Tennessee residents.

Download the PDF by clicking the link below and complete it directly in your browser or through the Adobe Desktop application.

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EMPLOYEE LETTER OF RESIGNATION
Date: ____________________
Employee: _______________________________ Employee #:____________________
Division: ________________________________ Supervisor:_____________________
I, __________________________, have decided to resign my position at the City of Memphis.
(Employee Name)
I am resigning because: ___________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
I acknowledge at this time that I do not have any complaints against my supervisor, co-workers or
any company agent or representative that have not been otherwise reported in writing during my
employment. I also acknowledge that I have reported in writing any and all injuries that may have
occurred during my employment.
My last day will be _______________________________.
I understand that my last paycheck will be provided within the time required by applicable law. I
also understand that benefits will cease according to company policy and applicable law, and I will
be notified of any continuing rights I have by mail.
I acknowledge that I sign this resignation willfully and voluntarily.
_________________________________ __________________________________
Employee Printed Name
Supervisor Printed Name
________________________ ________ __________________________ ________
Employee Signature
Date
Supervisor Signature
Date
1/28/2014
EMPLOYEE LETTER OF RESIGNATION
Date: ____________________
Employee: _______________________________ Employee #:____________________
Division: ________________________________ Supervisor:_____________________
I, __________________________, have decided to resign my position at the City of Memphis.
(Employee Name)
I am resigning because: ___________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
I acknowledge at this time that I do not have any complaints against my supervisor, co-workers or
any company agent or representative that have not been otherwise reported in writing during my
employment. I also acknowledge that I have reported in writing any and all injuries that may have
occurred during my employment.
My last day will be _______________________________.
I understand that my last paycheck will be provided within the time required by applicable law. I
also understand that benefits will cease according to company policy and applicable law, and I will
be notified of any continuing rights I have by mail.
I acknowledge that I sign this resignation willfully and voluntarily.
_________________________________ __________________________________
Employee Printed Name
Supervisor Printed Name
________________________ ________ __________________________ ________
Employee Signature
Date
Supervisor Signature
Date
1/28/2014

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