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termination form
*
Indicates required field
Store Number
*
01
02
03
04
06
07
08
09
10
11
12
13
18
20
22
23
24
Employee Name
*
First
Last
Position
*
Date Terminated
*
Reason for Termination
*
Voluntary
Involuntary
Were Store Keys Returned?
*
Yes
No
Is Employee Eligible for Rehire?
*
Yes
No
Details Regarding Termination
*
Manager Name
*
First
Last
Submit
Home
Careers
Locations
Phil Wants To Know
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Hoosier Lottery Sweepstakes Rules