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North Carolina ignature of Employer ________________________ Date __________________________ ________________________ Separation Signature of Employee Date _____________ Discharged for cause ____________ Discharged for lack of work ____ Other ________________________________________________ Eligible for rehire? Yes ___ No ___ __________________________ S__________ Date ______________ ______________ Reason _______________ _______________ _______________ _______________ ______________ ______________ Laid off _____________________ Left voluntarily _ Date begun _______________ _______________ Job reviews _______________ _______________ Date ______________ ______________ Status _______________ _______________ Separation _______________ _____ry New salary Date begun _______________ _______________ _______________ Changes in position _______________ _______________ _______________ New position ______________ ______________ ________________ Phone _____________________ Date hired __________________ Starting salary ______________ W-4 Form completed ___________ Employee Handbook received __ Number of dependents__________ Changes in sala be consulted for all serious legal matters. Personnel Form Employee name ________________________________________ Social Security number _________ Address ___________________________________________wever caused and on any theory of liability, whether in contract, strict liability, or tort (including negligence or otherwise) arising in any way out of the use of these materials. An attorney shouldirect, incidental, special, exemplary, or consequential damages (including, but not limited to, procurement of substitute goods or services; loss of use, data, or profits; or business interruption) ho at your own risk. In no event will: i) FindLegalForms, Inc, its agents, partners, or affiliates, or ii) the providers, authors or publishers of the forms, be responsible or liable for any direct, inderials are provided "AS-IS." We do not give any express or implied warranties of merchantability, suitability or completeness for any of the materials for your particular needs. The materials are used of these materials. FindLegalForms, Inc. does not provide legal advice. The purchase and use of these materials is subject to the "Disclaimers and Terms of Use" found at findlegalforms.com. These matn job position Date and reason for leaving employment Eligibility for rehiring Signature of employer Signature of employee upon separation Disclaimer No Attorney-Client relationship is created by use§ § § § § § § § Name, address, and phone of employee Social Security number of employee Date hired and starting salary W-4 form completion and number of dependents Any changes in salary Any changes iend of employment of any employee. This form should be completed upon the hiring of any employee and should be periodically updated as required.The following information is gathered on this form: § § Information Personnel Form Provided under agreement with copyright holder, © Nova Publishing Company 2004 The purpose of this form is to provide a central record of the hiring, job advancement, and North Carolina