Resignation Form

This must be submitted by the employee wishing to resign.

Employee First/Last Name

Employee Phone

Employee Email

Employee Address for W2 Mailing

Store Number

Today's Date

Reason for Resignation

Last Date of Work:

By submitting this form I confirm that my resignation is voluntary. I understand that if I have questions or concerns prior to or after my resigning, I can talk to Human Resources by calling (820) 587-1126 or emailing hr@pg1restaurants.com