Employee Separation Form - US

Instructions This form should be used by a Manager or Human Resources Business Partner to terminate an Employee from Estee Lauder Companies. If you need assistance completing this form, please contact Employee Services at 1-844-472-8352. To submit this form, please fax to HR Connect at 844-636-5901 or email to HR Connect at [email protected] Note:*= Mandatory Fields

Initiator Information (This is the person filling out this form, NOT the separating employee)

*Name: *Employee ID Number: *Submit Date (DD-MON-YYYY):

*E-mail: *Contact Phone Number:

Separating Employee Information *Last Name: *First Name: *Employee ID Number:

Separation Details * Notification Date (DD-MON-YYYY): * Last Day Worked (DD-MON-YYYY): * Effective Date (DD-MON-YYYY):

This is the date when you were notified of Separation Date: Last day the employee The last day the employee will be paid the separation (either by the employee or is considered part of the Organization by HR (involuntary))

Is this a termination that requires 24 hour payout by state What is the payroll cycle for this employee? law (California)? Weekly______Semi-Monthly______Yes______No______

*Separation Reason (Select Only One Reason by placing an “X” next to a reason) Please Note: Any Voluntary Reason for Separation, please attach copy of employee’s notice letter or resignation letter along with this form. For an involuntary separation, please attach a copy of any supporting documentation for unemployment purposes.

Last updated : 2/11/2015

Country Transfer Invol- Misconduct Vol- Disability

Deceased Invol- Performance Capability Vol- Dissatisfied with Job

Employee Transfer Involuntary- Other ‘Official Use Only Vol- Dissatisfied with Work environment

End of Temporary/Fixed Term Contract Mutual Agreement Vol- Furthering Education

End of Visa No Payroll Activity Vol- Joining Competitor

Invol-Failed Probation Period Redundancy/Position Discontinued Vol- Lack of Career Opportunities

Invol- Gross Misconduct Resizing/Restructuring Vol- More Suitable Hours

Invol- Improper Attendance Retirement Vol- Not Returning after a Leave of Absence

Invol- Inability to Physically Perform Vol- Career Change Vol- Not Returning after Maternity Leave Duties

Invol- Job Abandonment Vol- Compensation Vol- Personal Reason

Vol- Relocation Work Refusal

*Vacation/ Sick Days- Please indicate the number of remaining vacation/sick days for both exempt and non-exempt employees in the space below:

*HR USE ONLY: Please answer the following questions: Is the employee eligible for severance? Yes No Does the employee have a non-compete? Enforce__ Waive__ Pending __ No Non-Compete__ If yes, enter the non-compete expiry date (DD-MON-YYYY): If joining a competitor, please list competitor’s company name:

Note: If the separating employee is eligible for severance, HR is required to send the Severance Information Form with this document. Reassign Direct Reports (If the terminating employee has direct reports that will report to new managers, please list below. If you need more than 7 lines, please attach an additional page with remaining information) *If ALL direct reports are moving to one new Manager, please indicate that by typing “ALL” in the Direct Report column next to the corresponding New Manager and Employee ID rather than listing each name.

Direct Report New Manager Name Name Employee ID Employee ID Transfer Date (DD-MON-YYYY)

Name Name Employee ID Employee ID Transfer Date (DD-MON-YYYY)

Manager Approval (if initiating)

*Last Name: *First Name:

*E-mail: *Signature/Date:

HR Contact Approval

*Last Name: *First Name:

Manager Approval (if initiating)

*E-mail: *Signature/Date:

Please send the completed form to the HR Connect at [email protected] or Fax it to 844-636-5901.

HR Connect Use Only Date Received (DD-MON-YYYY) : Date Completed (DD-MON-YYYY) :

ESR Name: Signature:

Remarks:

Audit Use Only:

Auditor’s Name: Issue:

Date Audited (DD-MON-YYYY) : Date Corrected (DD-MON-YYYY) :

Assigned To: Corrected By:

Notified Participants Downstream: