Optional Form 109 Separation Statement

Optional Form 109 Separation Statement

What Is Optional Form 109?

This is a legal form that was released by the U.S. General Services Administration and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form 109?
A: Form 109 is a separation statement form.

Q: What is a separation statement?
A: A separation statement is a document that provides information about an employee's separation from employment.

Q: Who uses Form 109?
A: Employers use Form 109 to provide a separation statement to their employees.

Q: What information is included in Form 109?
A: Form 109 includes details such as the employee's name, social security number, date of separation, and reason for separation.

Q: Why is Form 109 important?
A: Form 109 is important for employees as it provides proof of their employment and separation, which may be required for various purposes like filing for unemployment benefits or tax purposes.

Q: Is Form 109 required by law?
A: Form 109 is not required by federal law, but some states may have their own requirements for separation statements.

Q: Do I need to keep a copy of Form 109?
A: It is recommended to keep a copy of Form 109 for your records, as it may be needed for future reference or documentation.

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Form Details:

  • The latest available edition released by the U.S. General Services Administration;
  • Easy to use and ready to print;
  • Yours to fill out and keep for your records;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Optional Form 109 by clicking the link below or browse more documents and templates provided by the U.S. General Services Administration.

Download Optional Form 109 Separation Statement

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  • Optional Form 109 Separation Statement, Page 1
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