Sample Form to Rescind Resignation
If you are an employer seeking information or ideas about allowing an employee to rescind his resignation, you might prefer to use a form rather than requesting a letter from the employee. You can download the Rescind Resignation Form template and personalize it or otherwise modify it to suit the needs of your business.
This Microsoft Word template includes the title, "Rescind Of Resignation Request Form" in the header. Next is a date line, followed by sample text that you can replace with the manager’s name, department name, your business name, street address, city, state and ZIP code.
Next are lines on which the employee can fill in her name, street address, city, state and ZIP code, Social Security number, employee identification number and date the original resignation would have been effective. These are followed by the sample text, "Effective (DATE), I wish to rescind my letter of resignation dated (DATE)."
The form contains a section for the employee's reason for rescinding the resignation. This section has lines so that you can print the form and the employee can complete it by hand. Alternatively, you can provide an electronic version for the employee and he can type over the lines on the template.
Finally, there is a section with the following wording: "I attest that I am not rescinding my letter of resignation under duress, but of my own free will. In addition, I realize that the following conditions apply starting immediately in order to continue my employment with (COMPANY):" Again, this section contains lines on which you or the employee can include details. There are signature lines for the employee and approving manager, as well.
To download this template, click the Download Page link in the Resources and References section below.