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Separation Notice NAME: EMPLOYEE ID:DEPARTMENT: IMMEDIATE SUPERVISOR: LAST DAY WORKED:Instructions: This form is to be completed by the supervisor of the separating employee. Supervisors should obtain
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Last day worked is the final day an employee worked before leaving their job.
Employers are required to report the last day worked for each employee.
Last day worked can be filled out by entering the date an employee worked their final shift.
The purpose of last day worked is to document when an employee stopped working for a particular employer.
The information reported on last day worked typically includes the date of the employee's final shift.
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