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Termination Notice

 International Brotherhood of Electrical Workers
Local Union No. 1340 - 552 Industrial Park Drive - Newport News, VA 23608
Office: (757) 875-1340  Facsimile: (757) 875-2869

Employer:
Job Location:
Date of Hire:
Date of Termination:
Employee:
SS#:
Classification:
Eligible for Re-hire:

Yes
No

   

  Reason For Termination

Layoff 

Reduction in Force
Job Completion
Shut Down Ended
Other - Explain

Discharge

Misconduct-on-Job
Absence
Not Qualified
Other-Explain

Voluntary Quit

Dissatisfied-Explain
Leaving Town
Sickness
Other-Explain

   
Explanation:
   
Name:
Date:
   


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