– PLEASE PLACE ON YOUR DEPARTMENTAL LETTERHEAD –

Resignation of Employment

This will document NAME’s decision to resign from HIS/HER probationary position of CLASSIFICATION effective DATE. The DEPARTMENT NAME accepts NAME’s voluntary resignation effective that date.

NAME has turned in all County property, identification, and equipment that is in HIS/HER possession.

The County agrees not to contest NAME’s application for unemployment benefits should HE/SHE apply for them.

______________________ ____________________________

NAME MANAGER’S NAME

CLASSIFICATION TITLE

Date: _________________ Date: _______________________

cc. DEPARTMENT HEAD
Donna Vaillancourt, Director, Human Resources Department
Civil Service Personnel File
Department Personnel File