Separation Agreement Template
1. Release of Claims
In exchange for the consideration stated in [Severance/Other consideration], Employee releases Employer from Claims related to employment/termination, except [Excluded items].
2. Non-Disparagement
Non-disparagement: No false or damaging statements.
Inquiry Contact (if any): [Name/Department/Email].
3. Termination of Employment
Employment ends on [Termination Date] (the “Separation Date”).
Effective Date of this Agreement: [Date of last signature].
4. Severance Pay
Severance: [No severance/Severance of $[Amount] as [Lump sum/Installments]].
Payment Timing: [Date(s)/Method].
Conditions (if any): [Return of property/Transition completion/Other].
5. Final Compensation
Earned wages through Separation Date: [Amount/Calculation].
Unused PTO (if applicable): [Amount/Calculation].
Other compensation (if any): [Describe].
6. Benefits
Benefits terminate on [Date], unless continued through [Plan continuation/Other arrangement].
Benefits Contact: [Name/Email/Phone].
7. Release Scope Matrix
Claim Category | Included (Yes/No) | Excluded Item (If Any) | Notes/Ref ID |
[Compensation] | [Yes/No] | [Excluded item] | [__] |
[Benefits] | [Yes/No] | [Excluded item] | [__] |
[Contract/Tort] | [Yes/No] | [Excluded item] | [__] |
[Other] | [Yes/No] | [Excluded item] | [__] |
Claim Category | Included (Yes/No) | Excluded Item (If Any) | Notes/Ref ID |
[Compensation] | [Yes/No] | [Excluded item] | [__] |
[Benefits] | [Yes/No] | [Excluded item] | [__] |
[Contract/Tort] | [Yes/No] | [Excluded item] | [__] |
[Other] | [Yes/No] | [Excluded item] | [__] |
Claim Category
Included (Yes/No)
Excluded Item (If Any)
Notes/Ref ID
[Compensation]
[Yes/No]
[Excluded item]
[__]
[Benefits]
[Contract/Tort]
[Other]
8. Return of Company Property
Return deadline: [Date]. Return method: [Drop-off/Ship/Other].
Items: [Devices/Badges/Documents/Other].
Access and credentials: [Deactivate/Transfer list].
9. Confidentiality
Confidentiality: [Continue under prior agreement/Set forth here: __].
Confidential materials handling: [Return/Deliver/Delete per policy].
10. Notices
Employer Notice Address: [Address/Email].
Employee Notice Address: [Address/Email].
11. Non-Solicitation and Non-Compete (If Applicable)
Non-solicitation: [If applicable: [X] months; scope: clients/employees].
Non-compete: [If applicable: [Region] for [X] months].
12. Governing Law
Governing law: Florida.
13. Entire Agreement
This Agreement supersedes prior discussions regarding separation.
Amendments must be in writing and signed by both Parties.
14. Final Accounting Items
Outstanding advances (if any): [Amount/Description].
Pending reimbursements (if any): [Amount/Description].
15. Signatures
Employer Signatory: ________________________ Date: ____________ Name/Title: [Name, Title]
Company Representative (Optional): __________ Date: ____________ Name/Title: [Name, Title]
Employee: _________________________________ Date: ____________ Name: [Full Name]
Claim Category | Included (Yes/No) | Excluded Item (If Any) | Notes/Ref ID |
[Compensation] | [Yes/No] | [Excluded item] | [__] |
[Benefits] | [Yes/No] | [Excluded item] | [__] |
[Contract/Tort] | [Yes/No] | [Excluded item] | [__] |
[Other] | [Yes/No] | [Excluded item] | [__] |
