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Termination Release
As consideration for {LIST SEVERANCE PAY, EXTENDED BENEFITS OR OTHER ITEMS OFFERED} offered to me by {INSERT COMPANY NAME}("the Company"), I release and discharge the Company and the Company's employees, directors, officers, and successors for all claims, liabilities, and causes of action, known or unknown, contingent or fixed, that I may claim to have against the Company as a result of this termination, and agree not to file a lawsuit or any other action to assert a claim.
This release includes claims arising under all federal, state and local employment discrimination laws. This release doe not affect any claim I may file against the Company that are unrelated to this termination.
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Print Name
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Signature
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Date
