Louisiana Separation Form

Availability: In stock




Product Specifications:

  • This form is 8.5" x 11"
  • 25 Forms/Package
Questions? Call a compliance specialist at 800-745-9970

The Louisiana Workforce Commission requires that employers complete a Separation Notice Alleging Disqualification for each worker who leaves employment without good cause connected with his work, is discharged for misconduct connected with his work, or is unemployed because of a labor dispute.

This form includes spaces for information about the reason for leaving, as well as information about severance, vacation, dismissal, bonus, and holiday pay compensation.

In addition to the form itself, the Separation Notice contains detailed instructions for the employer about when and how they need to have the employees complete information, including information about the dates that the employee was working for the company, reason for leaving and more. Employees should receive a copy of all instructions and information pertaining to why the employee stopped working.

State Mandatory Updates

State Non-Mandatory Updates

Federal State Mandatory Updates

Federal State Non-Mandatory Updates