Employee Separation Form

Text Label

NOTE: This form should be completed by the Supervisor at the time of notification of an employees separation.

Employee Name: *

Employee #: *

Department *

New Department *

We would like to get some feedback regarding your experience at Larimer County. Would you prefer for us to email an exit interview link to your County email address or would you prefer to meet with your HR Generalist? Meetings can be in person, Zoom, or over the phone.

Exit Interivew Options

	I would prefer to have an Exit Interview emailed to me
	I would prefer to talk to my HR Generalist for an exit interview

will contact you within 3 business days to schedule a time for an in person exit interview. If you are not contacted in this timeframe, please reach out to your generalist at .

Submit

	Voluntary Separation
	Involuntary Separation
	Transfer

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