PBF – Separation Notice Home / Employee PBF Separation HR - PBF - Separation Notice Name* First Last Employee ID Hire Date* MM slash DD slash YYYY Supervisor* Phone*Last Date Worked* MM slash DD slash YYYY Was this employee driving?* Yes No Select Separation Type*Select 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 Quality of Work* Good Fair Poor Productivity* Good Fair Poor Relationships* Good Fair Poor CommentsEvaluation Summarized by* CAPTCHA