OLA/OHR Employee Relations Request to Terminate

OLA/OHR Employee Relations Request to Terminate

Intake Date*

Fiscal Year*

Select or enter value

Employee Name*

Employee Job Title*

Employee Category*

Select

Gender*

Male

Female

Ethnicity*

Hispanic or Latino

Not Hispanic or Latino

Race

Required if "Not Hispanic or Latino"

American Indian or Alaska Native

Asian

Black or African American

Native Hawaiian or Other Pacific Islander

White

Two or More Races

Other

Not Reported

Supervisor Name*

Supervisor Email*

Department*

Division*

Select

Termination Reason*

Select

Comment

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