407.4E2 - Licensed Employee Early Separation Program

A meeting was held on the                             day of                                                                                                  , 20

with the following people present:

 

 

 

The following items were discussed: (Check if covered)

Benefits to be provided

 

Waiver and release terms

 

The employee has no obligation to accept early retirement

 

45 days to consider agreement/waiver and release ends as of

 

The employee's right to consult an attorney prior to signing or to answer questions

 

The employee has the right and ability to revoke signed agreement/waiver and release within 7

Days

 

A copy of the agreement/waiver and release and this document was given to the employee.

 

The signatures below only acknowledge that the items were covered and can not be used to prove assent to any terms of the agreement/waiver and release.

 

 

Signature Date

 

 

Signature Date

 

 

Signature Date