PBF – Separation Notice Home / Employee PBF Separation HR - PBF - Separation Notice Name* First Last Pin Hire Date* MM slash DD slash YYYY Last check date* MM slash DD slash YYYY Market Number*Supervisor* Phone*Last Date Worked* MM slash DD slash YYYY Was this employee driving?* Yes No Select Separation TypeSelect OneVoluntaryInvoluntaryOtherReason for Separation*Select oneJob Abandonment, No Call/No ShowAnother JobRelocationPersonal Reasons (Elaborate in Description Below)RetirementExcessive AbsenteeismInsubordinationLack of WorkViolation of Work RulesSafety Rules InfractionTime Card InfractionExcessive TardinessWork PerformanceSeasonal HireOtherWould you Rehire?* Yes No Description / Reason for Separation.Confidential Evaluation of EmployeeAttendance* Good Fair Poor Cooperation* Good Fair Poor Initiative* Good Fair Poor Quality of Work* Good Fair Poor Productivity* Good Fair Poor Work Habits* Good Fair Poor Relationships* Good Fair Poor Comments*Evaluation Summarized by* CAPTCHA