[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. Governing Law & Jurisdiction
   This Notice shall be governed by, and construed in accordance with, the laws of the State of Connecticut, without regard to conflict-of-law principles. Any action arising out of or relating to this Notice shall be filed exclusively in the state courts located in [COUNTY], Connecticut.

II. DEFINITIONS

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

“Accrued Benefits” – Unpaid base salary, earned but unused vacation or PTO, and any other earned wages through the Termination Date.

“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 date on which Company will deliver all Accrued Benefits to Employee, being the next business day after the Termination Date, consistent with Conn. Gen. Stat. § 31-71c (2023).

“Post-Employment Obligations” – Any confidentiality, non-competition, non-solicitation, invention-assignment, or similar obligations previously executed by Employee in favor of Company.

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) Accrued Benefits. Company will pay Employee all Accrued Benefits on the Final Pay Date via [METHOD OF PAYMENT] in compliance with Conn. Gen. Stat. § 31-71c (2023).
(b) Deductions. All payments will be subject to required withholdings and authorized deductions.

3.3 Benefits & COBRA
(a) Group Health Coverage will terminate at 11:59 p.m. on the Termination Date.
(b) Under the Consolidated Omnibus Budget Reconciliation Act (COBRA), Employee is eligible to elect continuation of certain group health benefits. A COBRA election package, including Form [MODEL NOTICE OF QUALIFYING EVENT], is enclosed pursuant to 29 U.S.C. § 1166 (2022).
(c) Questions regarding continuation coverage should be directed to the COBRA Administrator at [CONTACT INFO].

3.4 Unemployment Compensation
Enclosed is the Connecticut Department of Labor Form UC-61, “Notice to Employee,” outlining potential eligibility for unemployment compensation benefits. Employee may contact the CTDOL at 860-263-6000 or https://www.ctdol.state.ct.us for filing instructions.

3.5 Return of Company Property
On or before the Termination Date, Employee shall return all Company Property to [DESIGNATED REPRESENTATIVE] and certify in writing that no copies remain in Employee’s possession or control.

3.6 Post-Employment Obligations
Employee acknowledges and reaffirms all Post-Employment Obligations, which shall remain in full force according to their respective terms.

3.7 Cooperation
Upon reasonable request and without additional compensation (other than reimbursement of pre-approved expenses), Employee shall cooperate with Company in transitioning duties and in any investigations, litigation, or administrative proceedings involving matters within the scope of Employee’s employment.

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
Employee acknowledges that:
(a) Employment was at-will, and this termination does not violate any contractual or statutory right;
(b) Employee has received, or will receive on the Final Pay Date, all compensation due;
(c) No inducements or promises have been made other than those expressly set forth in this Notice.

V. COVENANTS & RESTRICTIONS

5.1 Non-Disparagement
Employee agrees not to make any statement that disparages or may reasonably be perceived to disparage Company or its affiliates, except as required by law.

5.2 Confidentiality of Company Information
Employee shall not disclose or use any confidential or proprietary information belonging to Company, except as otherwise permitted by law.

VI. DEFAULT & REMEDIES

6.1 Employee Default
Failure by Employee to comply with Sections 3.5, 3.6, or 5 constitutes a default. Upon default, Company may pursue all rights and remedies at law or in equity, including injunctive relief, specific performance, and recovery of damages.

6.2 Attorneys’ Fees
In any action to enforce this Notice, the prevailing party shall be entitled to recover its reasonable attorneys’ fees and costs.

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

VIII. DISPUTE RESOLUTION

8.1 Governing Law & Venue
As set forth in Section 3, Connecticut law governs and the state courts of [COUNTY], Connecticut, have exclusive jurisdiction.

8.2 Arbitration; Jury Waiver
[NOT APPLICABLE.]

IX. GENERAL PROVISIONS

9.1 Entire Agreement
This Notice, together with any Post-Employment Obligations, constitutes the entire agreement between the parties concerning the termination of employment and supersedes all prior or contemporaneous oral or written communications on that subject.

9.2 Amendment & Waiver
No amendment or waiver of any provision of this Notice shall be effective unless in writing and signed by both parties. Failure to enforce any provision shall not constitute a waiver.

9.3 Severability
If any provision of this Notice is held invalid or unenforceable, the remaining provisions shall remain in full force, and the invalid provision shall be reformed to the minimum extent necessary to render it enforceable.

9.4 Assignment
Employee may not assign any rights or delegate any obligations under this Notice. Company may assign its rights and obligations to any affiliate or successor.

9.5 Counterparts; Electronic Signatures
This Notice may be executed in counterparts, each of which shall be deemed an original. Electronic signatures shall be deemed original signatures for all purposes.

X. EXECUTION BLOCK

IN WITNESS WHEREOF, the undersigned have executed this Employee Termination Notice as of the Notice Date.

[Notary Block – use if notarization is required under internal policy or for enforcement of restrictive covenants.]

Attachments

1. Connecticut Department of Labor Form UC-61 (“Notice to Employee”)
2. COBRA Qualifying Event Notice & Election Form
3. [Optional] Acknowledgment of Post-Employment Obligations