Termination Letter

[COMPANY LETTERHEAD]

EMPLOYEE TERMINATION NOTICE

(Connecticut)

I. DOCUMENT HEADER

1. Parties
   1.1 “[Company]”: [LEGAL NAME OF EMPLOYER], a [STATE] [ENTITY TYPE] with its principal place of business at [ADDRESS].
   1.2 “Employee”: [EMPLOYEE NAME], residing at [ADDRESS].

2. Effective Date
   2.1 This Employee Termination Notice (“Notice”) is delivered and effective as of [DATE DELIVERED] (“Notice Date”).
   2.2 Employee’s employment with Company will terminate effective [TERMINATION DATE] (“Termination Date”).

3. Legal Effect
   This is a unilateral termination notice. It does not create a release, restrictive covenant, choice-of-law clause, or forum-selection agreement. Any signature below acknowledges receipt only.

II. DEFINITIONS

For purposes of this Notice, the following terms shall have the meanings set forth below:

“Final Compensation” – Earned wages and any vacation/PTO or other amount payable under governing law, contract, plan, or policy.

“COBRA Administrator” – The third-party administrator or internal department designated by Company to process continuation-coverage elections under COBRA.

“Company Property” – All Company-owned equipment, devices, documents, data, and other materials (tangible or intangible) in Employee’s possession or control.

“Final Pay Date” – The next business day after the Termination Date for wages due upon discharge under Conn. Gen. Stat. § 31-71c(b). Identify separately any other amount governed by a different payment rule.

III. OPERATIVE PROVISIONS

3.1 Termination of Employment
(a) Company hereby terminates Employee’s employment effective as of the Termination Date.
(b) The employment relationship will cease in its entirety on the Termination Date, and all authority of Employee to act on behalf of Company shall immediately end.

3.2 Final Compensation
(a) Final Compensation. Company will pay wages due upon discharge on the Final Pay Date via [METHOD OF PAYMENT] in compliance with Conn. Gen. Stat. § 31-71c(b). Vacation/PTO and other items will be included only to the extent earned and payable under the governing law, contract, plan, or policy.
(b) Deductions. All payments will be subject to required withholdings and authorized deductions.

3.3 Benefits & COBRA
(a) Active-employee group health coverage will end on [PLAN-SPECIFIC DATE] under the governing plan documents.
(b) If the plan and separation are subject to federal COBRA, the Employer will notify the plan administrator and the plan administrator will issue a separate election notice under 29 U.S.C. § 1166. The separate notice controls eligibility, deadlines, premiums, and payment terms.
(c) Questions regarding continuation coverage should be directed to the COBRA Administrator at [CONTACT INFO].

3.4 Unemployment Compensation
Enclosed is the current Connecticut Department of Labor UC-21A unemployment separation packet. The employer must give the entire packet to the separating employee at separation, regardless of the reason, or mail it to the employee's last known address if personal delivery is not possible.

3.5 Return of Company Property
Please return Company Property to [DESIGNATED REPRESENTATIVE] by [DATE/TIME] or contact that person to arrange return. This request is not a new contractual obligation and does not authorize withholding earned wages.

3.6 Post-Employment Obligations
This Notice does not create, expand, incorporate, or reaffirm a post-employment restriction. Any separate agreement must be reviewed independently for current enforceability.

3.7 Cooperation
Company may request reasonable post-employment cooperation. Any binding duty, compensation, expense reimbursement, scheduling, privilege protection, and scope must arise from a separate enforceable agreement or applicable law.

IV. REPRESENTATIONS & WARRANTIES

4.1 Company’s Representations
(a) Authority. Company has full authority to issue this Notice.
(b) Compliance. Company will comply with all applicable wage-payment and benefit-continuation statutes.

4.2 Employee’s Acknowledgments
Any signature below acknowledges receipt only and is not a representation, release, or waiver. Payment of earned wages is not conditioned on signature.

V. COVENANTS & RESTRICTIONS

5.1 Non-Disparagement
Nothing in this Notice restricts truthful reports to government agencies, participation in investigations, protected concerted activity, or any other nonwaivable right.

5.2 Confidentiality of Company Information
This Notice does not create or reaffirm a confidentiality covenant. Applicable law and any separately reviewed agreement remain controlling.

VI. DEFAULT & REMEDIES

6.1 Employee Default
This unilateral Notice does not create an employee default or new remedy.

6.2 Attorneys’ Fees
This Notice does not create an attorney-fee entitlement.

VII. RISK ALLOCATION
[RESERVED – Not applicable to this Notice.]

VIII. DISPUTE RESOLUTION

8.1 Governing Law & Venue
This Notice does not create a choice-of-law or forum-selection agreement.

8.2 Arbitration; Jury Waiver
[NOT APPLICABLE.]

IX. GENERAL PROVISIONS

9.1 Entire Agreement
This Notice communicates the termination decision and payment/benefit information. It does not amend or supersede a separate enforceable agreement, plan, policy, or collective-bargaining agreement.

9.2 Amendment & Waiver
Company may correct or supplement administrative information in writing, but may not use a correction to reduce an amount already earned or waive Employee rights.

9.3 Severability
If any statement in this Notice conflicts with controlling law or plan terms, the controlling law or plan terms govern.

9.4 Assignment
This Notice does not create assignable contractual rights or duties.

9.5 Counterparts; Electronic Signatures
The optional receipt acknowledgment may be signed on paper or electronically. It does not convert this Notice into an agreement.

X. EXECUTION BLOCK

Company issues this Notice as of the Notice Date. Employee’s signature, if provided, acknowledges receipt only.

Attachments

1. Connecticut Department of Labor UC-21A unemployment separation packet
2. COBRA Qualifying Event Notice & Election Form
3. [Optional] Acknowledgment of Post-Employment Obligations

Sources and References

• Connecticut Department of Labor, Wage Payment Laws (DOL-74): https://portal.ct.gov/dol/-/media/DOL/2022-New-Design-System/Divisions/wage-and-workplace-standards/DOL-74.pdf
• Connecticut Department of Labor, UC-21A separation notice: https://portal.ct.gov/dol/-/media/dol/2022-new-design-system/divisions/unemployment-insurance-benefits-division/separation-packet-uc-21a.pdf
• U.S. Department of Labor, COBRA employer guide: https://www.dol.gov/agencies/ebsa/about-ebsa/our-activities/resource-center/publications/an-employers-guide-to-group-health-continuation-coverage-under-cobra
• 29 U.S.C. §§ 1161 and 1166: https://www.govinfo.gov/app/collection/uscode/2024/title29