WISCONSIN STATE FAIR PARK

TERMINATION/LAYOFF REPORT

This form must be used at all times to report to Human Resources an employee and/or appointment that needs to be terminated. It should be submitted prior to the last day of employment whenever possible and no later than three business days after termination or when you become aware of a termination (such as your annual call-back). When possible, please have the employee complete the ‘Voluntary Resignation’ section. Supervisors should also strongly encourage employees to submit a written resignation and to update their address for W-2 mailing purposes. LTE Appointments that you would like inactivated/laid off until an employee returns (in the calendar year following term date only) need to be reported as well.

Please complete this form entirely. This form is fill-in enabled and best processed when completed by filling out online and signing where indicated. If this form is hand-filled out, please print clearly!

Employee Name	Employee ID #	Department/Unit
Position(s)	Building Located (Ex: TGTYC, Expo, RV Park)
Supervisor Name	Lead Worker (if applicable)
Employment Type: Permanent Fair-Only LTE All Other LTE	Position Number(s) to Terminate: , ,
Does employee have another active position? Yes NoIf No, Answer Next Question: Is employee expected to return to same position before end of calendar year following term date? No* YesIf Yes, Provide Return Date: Expected Date of Return: *Employee will be considered a NEW employee

Termination Effective Date^:

^Last Date of Actual Work Performed (should match time record/sheet)

Termination Reason:

Voluntary Resignation (If available, employee should complete ‘Voluntary Resignation’ section, or attach

resignation letter or other documentation, such as a call-back letter, showing employee’s resignation)

Employer-driven Termination (Supervisor must complete ‘Employer-Driven Termination’ section)

End of LTE Appointment (for positions approved for a specific project, timeframe, and/or hours –

Supervisor must complete ‘Employer-Driven Termination’ section)

New Appointment (LTE or Permanent) with SFP (complete Checklist below then sign and date form)

Termination Checklist for Supervisors (complete EACH of the following):

Action Needed	Completed	Not Applicable
Collect any keys/access cards to buildings, offices, storage areas, vehicles, etc.
Collect Purchasing Card (P-Card)
Collect Employee ID (Credentials)
Collect Uniform Issued
Collect Parking Pass
Inform Lucy of STARFin access to deactivate
Inform IT of any Computer logon IDs that need to be deactivated by providing Employee Name and Termination Effective Date
Inform IT of person to whom user’s email box should be turned over
Arrange for physical computer and equipment to be returned to IT
Arrange for mobile phone to be returned and/or service disconnected
Disable any accounts for trade organizations and/or transfer to another staff

Voluntary Resignation (by Employee)

I, (name)	hereby tender my resignation from Wisconsin
State Fair Park for the reason indicated below. My last day will be (dd/mm/yyyy)
I understand I should also submit a formal resignation letter.

Reason for Resignation from SFP (choose primary reason):

Private employment	Public employment	Retirement	No Reason Given
Seasonal Employee did not Respond to (Check all that Apply): Letter Email Phone Call
Other (please specify):

Employee Signature	Date

Check here if employee voluntarily resigned, but cannot complete form. You must still indicate the reason above, if known, and attach any documentation, such as an email or response to your annual callback of staff for the annual Fair, and/or description of the circumstances surrounding the resignation

Employer-Driven Termination

We, the employer, are terminating the employment record(s) indicated for the reason indicated below.

Reason for Terminating Permanent or LTE Appointment(s) (choose primary reason)**:

Terminated for or not asking back for next season/year’s Fair due to: **Provide Documentation if Applicable Poor Performance** Poor Attendance** Other (specify):
Employee Quit w/o 2 wks Notice Stopped Coming to Work (2 No Call/No Show for Fair-Only, 3 for All Others)
Accepted offer but did not start	Discharged for misconduct	Work or Funding No Longer Available
Inactivate employment record(s) until reactivated in calendar year following term date only Indicate only if you intend to ask employee back in the calendar year following term date. If employee resigns in meantime or indicates they will not return, you must re-submit this form by completing the ‘Voluntary Resignation’ section
Other - (please specify):

**You must forward to HR all discipline, performance or other employee documentation supporting a termination for employee personnel file

Employer Certification – completed & signed by Supervisor Only (LTE or Perm) but NOT a lead worker

Would you recommend this employee for rehire? Yes No – If no, please explain below:

Some former employees may qualify for Unemployment Compensation. However, claims can be challenged if an employee resigns to take another job or was fired for just cause. Do you feel the circumstances for resignation/ termination may justify our challenging any UC claim that may be filed? No Yes – If yes, explain below:

Additional Info/Notes:

Supervisor Signature	Date

For HR Department Use Only:
Received:	All: Termed in STAR* P-File Termed I-9 Moved Emergency Contact Pulled
Benefitted EE: *STAR Term w/ Ben Ben Letter COBRA Leave Payout Sick Leave Cert Pers Trans Form
Notes: