RPM Separation Notice Home / Employee RPM Separation 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 Reason for Separation (Voluntary)Select OneJob Abandonment. No Show/No CallAnother JobRelocationTransportation ProblemsWorking ConditionsWork ScheduleProblem with SupervisorProblem with Co-workerPersonal ProblemReturn to SchoolRetirementPayQuit without NoticeOtherReason for Separation (Involuntary)Select oneExcessive AbsenteeismInsubordinationLack of WorkViolation of Work RulesSafety Rules InfractionTime Card InfractionExcessive TardinessWork PerformanceSeasonal HireOtherWould you Rehire?* Yes No If other, list 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 CommentsEvaluation Summarized by* CAPTCHA