{{company_name}}
{{company_address}}
Phone: {{phone}} | Email: {{email}} | Web: {{website}}
{{date}}
{{employee_name}}
{{employee_address}}
Re: Termination – Incapacity (Ill Health)
Dear {{employee_name}},
Purpose
to terminate employment due to permanent incapacity
Details
Following medical assessment and consultation, it has been determined that you are unable to perform the essential functions of {{job_title}}.
Your employment is terminated on the grounds of incapacity, effective {{effective_date}}. Disability benefits will be processed where applicable.
Effective Date
This letter is effective as of {{effective_date}}.
Should you have any questions, please contact {{manager_name}} in {{department}}.
Sincerely,
{{manager_name}}
{{job_title}}
{{company_name}}
Signatures
| Signature | Date | |
|---|---|---|
| Employee: {{employee_name}} | ____________________ | {{date}} |
| Manager: {{manager_name}} | ____________________ | {{date}} |
Grounds & Effective Date
| Field | Value |
|---|---|
| Employee | {{employee_name}} ({{employee_id}}) |
| Role | {{job_title}}, {{department}} |
| Last Working Day | {{effective_date}} |
| Notice Period | As per employment contract |
| Reason Category | Resignation / Mutual / Redundancy / Cause |
| Issuing Manager | {{manager_name}} |
Final Settlement
| Item | Amount / Status |
|---|---|
| Salary up to Last Working Day | |
| Accrued and Unused Leave | |
| Pro-rated Bonus (if applicable) | |
| End-of-Service / Gratuity | |
| Outstanding Loans / Advances | |
| Net Final Payment |
Exit Checklist
Continuing Obligations
- Confidentiality obligations as set out in the employment contract continue indefinitely.
- Any non-solicitation and non-compete clauses remain enforceable as agreed.
- Intellectual property assignments remain in full force.
- The Employee will not represent themselves as acting on behalf of the Company after the last working day.
Right of Appeal
Where this letter relates to a termination for cause, the Employee may submit a written appeal within seven (7) calendar days to the Head of HR. The appeal will be reviewed in line with the Company's grievance and disciplinary policy.
Acknowledgement
Document Control
| Field | Value |
|---|---|
| Document Owner | Human Resources — {{company_name}} |
| Category | Termination |
| Version | 1.0 |
| Effective Date | {{date}} |
| Next Review | Annually from effective date |
| Approved By | {{manager_name}} |
| Classification | Internal — Confidential |
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