Severance Agreement Form

1. [x] (Employee)'s termination as an employee of [Company] is effective at the end of the regular work day on [x] (date). All authority to discharge contracts, agreements, personnel activities, or to perform any duties as an employee is terminated. 2. [Company] will pay [x] (employee) severance pay at his regular salary: $[x] per [x] (month / bi-weekly pay period) for [x] weeks from the above date.