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SEPARATION AGREEMENT AND GENERAL RELEASE

2046468 1 SEPARATION AGREEMENT AND GENERAL RELEASE This SEPARATION AGREEMENT and GENERAL RELEASE ( this AGREEMENT ) is made and entered into by and between _____ ( Employee ) and _____ ( the Agency ) (collectively, the Parties ), both of whom wish to separate their employment relationship in an amicable manner. Now, therefore, in consideration of the mutual promises and covenants contained herein, it is agreed as follows: 1. Employee s last day of employment with the Agency shall be INSERT DATE ( the Effective Date ). The Agency has paid Employee his last current monthly salary through INSERT DATE, and all normal deductions and regular payroll tax withholdings were made. These monies shall be included on the W-2 form that the Agency shall issue for INSERT YEAR.

2046468 2 members, former employees, partners, directors, officers, trustees, consultants, shareholders, attorneys and insurers, …

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  General, Agreement, Release, Separation, Separation agreement and general release

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