PBF – Separation Notice Home / Employee PBF Separation HR - PBF - Separation Notice "*" indicates required fields Name* First Last Employee ID Last Date Worked* MM slash DD slash YYYY Hire Date* MM slash DD slash YYYY Separation Date* MM slash DD slash YYYY Supervisor* Was this employee driving?* Yes No If Employee was driving, please answer the following questionsAccess to Motive* Yes No Access to Fourkites* 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 Reason why you would rehire*Description / Reason for Separation.*Confidential Evaluation of EmployeeAttendance* Good Fair Poor Cooperation* Good Fair Poor Quality of Work* Good Fair Poor Comments*Evaluation Summarized by* Upload your files Drop files here or Select files Max. file size: 512 MB. Company Property* Yes No If the answer is "Yes" please choose that apply*NoneKeysCCLaptopPhoneDid Employee have Medical Benefits?* Yes No CAPTCHA