Wireless Lifestyle Termination Form Employee’s Name (Last Name, First Name): Market: Store: To ensure we have current information for the final check, provide the current information: Address (city, state, zip code): Phone Number: Actual Termination Date: Last Day Worked: Voluntary Termination (check all that apply): Involuntary Termination (check one): Work Violation ☐Accept ☐Retirement ☐Policy ☐Layoff Issues ☐Relocation ☐Family ☐Performance Call/No Show Misconduct (HR Approved) ☐Compensation ☐No ☐Gross to School (please explain) ☐Return ☐Death ☐Other (please explain) ______ ☐Other Termination Explanation (please include reason, policy number if there was a policy violation, previous corrective action date, dates of occurrences etc.): Collection of Company Property: Rehire Eligibility: Keys for Rehire ☐Store ☐Eligible Eligible for Rehire ☐Cell ☐Not Card (mark if collected and destroyed) ☐Credit ☐Other: Terminating Manager: Name: Title: Date: Signature: E-mail completed forms to Term distribution list Revised 12/2016 Termination Form
Wireless Lifestyle Termination Form Employee’s Name (Last Name, First Name): Market: Store: To ensure we have current information for the final check, provide the current information: Address (city, state, zip code): Phone Number: Actual Termination Date: Last Day Worked: Voluntary Termination (check all that apply): ☐Accept Work ☐Retirement ☐Relocation ☐Family Issues ☐Compensation ☐No Call/No Show ☐Return to School ☐Death ☐Other (please explain) ______ Involuntary Termination (check one): ☐Policy Violation ☐Layoff ☐Performance ☐Gross Misconduct (HR Approved) ☐Other (please explain) Termination Explanation (please include reason, policy number if there was a policy violation, previous corrective action date, dates of occurrences etc.): Collection of Company Property: ☐Store Keys ☐Cell ☐Credit Card (mark if collected and destroyed) ☐Other: Rehire Eligibility: ☐Eligible for Rehire ☐Not Eligible for Rehire Terminating Manager: Name: Title: Date: Signature: E-mail completed forms to Term distribution list Revised 12/2016 Termination Form