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Free form template · Word

Employee Resignation Form

An employee resignation form is a structured HR form that captures a resignation in a standard format: who is leaving, when notice was given, the reason and the proposed last day. Managers and HR sign it so the exit workflow has one approved record.

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Preview of the form

[Highlighted] = fill in
[Company Logo][Company Name]

EMPLOYEE RESIGNATION FORM

Form No.:
[Reference Number]
Date Received by HR:
[Date]

[Company Name]
[Company Address]

To be filled by the employee and submitted to the reporting manager and HR. Please write clearly.

Section A: Employee Details

Employee Name
Employee ID
Designation
Department
Work Location
Date of Joining
Reporting Manager
UAN (for PF transfer)
Personal Email
Mobile Number

Section B: Resignation Details

Date of Resignation
Notice Period as per Appointment Letter
Requested Last Working Day
Request for Notice Waiver / Buyout (Yes / No)
If yes, reason for early release

Section C: Reason for Leaving (tick all that apply)

  • Better career opportunity
  • Compensation
  • Higher studies
  • Relocation / family reasons
  • Health reasons
  • Work environment or role fit
  • Retirement
  • Other (please specify): ____________

Section D: Reporting Manager

Retention discussion held (Yes / No) and outcome
Recommended Last Working Day
Handover to (name)
Manager Remarks

Section E: HR Verification

Approved Last Working Day
Leave Balance (days)
Notice Shortfall (days), if any
Outstanding Loans / Advances
Exit Clearance Initiated On

Declaration

I, [Employee Name], hereby tender my resignation voluntarily. I understand that my last working day will be confirmed by the company, and I undertake to complete the handover, return all company property and finish the exit clearance before relieving.

Employee
[Employee Name]
Date: [Date]
Reporting Manager
[Reporting Manager]
Date: [Date]
HR
[HR Name]
Date: [Date]

What this template includes

  • Employee and employment details including UAN for PF transfer later
  • Date of resignation and notice period as per appointment letter
  • Requested versus approved last working day, so disputes are avoided
  • Reason for leaving with tick-style categories for reporting
  • Notice waiver or buyout request section
  • Reporting manager remarks and recommendation
  • HR verification of leave balance and dues, and employee declaration

When to use it

  • Your company wants every resignation recorded on one standard form rather than free-text letters
  • Store or factory staff resign verbally and HR needs a signed written record
  • You need manager and HR approvals with dates for audit and attrition reporting
  • You track reasons for leaving across departments and want consistent data

How to customise this template

  1. 1Replace the reason-for-leaving categories with the ones your HRMS reports on
  2. 2Add or remove approval levels (department head, plant head, director) as per your hierarchy
  3. 3Pre-fill the notice period for each grade if it varies by level
  4. 4Print on company letterhead or upload as a fillable form on your intranet
  5. 5File the signed form in the personnel file and start the exit clearance from it

HR tips

  • Record the date the form was received, not just the date written by the employee
  • Never make the employee wait for approval to submit; record it and then process
  • Use the reason data in aggregate only and keep individual remarks confidential
  • Attach the original resignation letter or email if the employee also sent one

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Frequently asked questions

What is the difference between a resignation letter and a resignation form?+

A resignation letter is written by the employee in their own words. A resignation form is the company's standard format that captures the same information along with manager and HR approvals in fixed fields.

Can a company refuse to accept a resignation form?+

Companies usually accept resignations and only negotiate the last working day or notice period. Holding back acceptance should be based on the appointment terms and applicable law, so check with HR policy and legal advice if in doubt.

Who should sign the employee resignation form?+

The employee, the reporting manager and HR at minimum. Some companies also add the department head or a unit head for senior roles.