Termination Notice – Leave Exhausted

[Date]

[Employee name]

[Address]

[City, State, ZIP Code]

Dear [Employee name]:

I hope this letter finds you recovering well [adjust language as appropriate]. You have been absent from work since [date] and you have exhausted all available sick and vacation leave as well as the unpaid leave of absence granted to you as an accommodation. You are not eligible for any additional leave as required by state and federal laws or under any company policy and we are unable to continue accommodating your absence. Regrettably, we must terminate your employment effective [date of this letter].

As a separating employee, there are a number of issues you will need to be aware of. You will receive information in the mail in the next few weeks regarding continuation under COBRA of any health care benefits in which you are enrolled. Your health benefits will end effective [date]. Any questions regarding your health benefits and transition to COBRA can be addressed to [name and contact information].   

[**Add additional benefits details here (e.g., supplemental medical and dental coverage, group term life insurance, dependent life insurance, flexible spending account, profit sharing, 401(k) plan, etc.). Please remember to check SPDs or plan documents to determine what benefits to include, obtain a good description of how the termination will impact the plans and any opportunity for continuation. Also add any contact information for questions on these benefit plans.]

Please contact [name and contact information] to coordinate the return of all company property listed below:

[List items]

Your final paycheck will be available [insert date]. You may pick up your final paycheck at [insert address]. If you would like your final paycheck to be mailed, please contact [name and contact information].

To ensure you receive documents and notices from the company, please notify us if your address changes. If you have any questions, please contact me at [phone number and/or email address].

Sincerely yours,

[Name]

[Title]

Copy: Personnel File