The Employment Separation Form is a crucial document used in Indonesian employment relationships to formally document the termination of employment between an employer and employee. It is designed to comply with Indonesian labor laws, particularly Law No. 13 of 2003 on Manpower and its amendments under the Job Creation Law No. 11 of 2020. This document is essential when employment is terminated for any reason, including resignation, termination, mutual separation, or retirement. It contains detailed information about final settlements, severance payments, returning company property, and ongoing obligations of both parties. The form serves as a legal record of the separation terms and helps prevent future disputes by clearly documenting all aspects of the employment termination. It should be used in conjunction with proper termination procedures as required by Indonesian law and should be maintained in both company and employee records.
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1. Employee and Company Information: Details of the employee (name, employee ID, position) and the company (legal name, address)
2. Date and Type of Separation: Effective date of separation and the type/nature of separation (resignation, termination, mutual agreement, etc.)
3. Reason for Separation: Clear statement of the grounds for employment separation in accordance with Indonesian labor law
4. Final Settlement Details: Breakdown of all financial settlements including salary, severance pay, service pay, and other entitlements
5. Company Property Return: List of company properties to be returned and confirmation of return
6. Confidentiality Obligations: Reminder of ongoing confidentiality obligations post-employment
7. Release and Waiver: Mutual release of claims and liabilities between parties
8. Signatures: Space for signatures of employee, employer representative, and witness(es)
1. Non-Compete Clause: Used when there are specific post-employment competition restrictions (subject to Indonesian law limitations)
2. Misconduct Details: Required when separation is due to proven misconduct, documenting the specific violations
3. Handover Plan: Included when there's a need for knowledge transfer or project handover
4. Reference Agreement: Terms regarding future employment references, if agreed upon
5. Dispute Resolution: Specific dispute resolution procedures, when not using standard labor court process
6. Benefits Continuation: Details of any benefits that continue post-employment
7. Reinstatement Rights: Used in cases of temporary layoffs with potential reinstatement rights
1. Schedule A - Financial Settlement Calculation: Detailed calculation of all financial settlements including basic salary, severance pay, service pay, and other entitlements
2. Schedule B - Company Property Inventory: Detailed list of company properties to be returned with their condition
3. Schedule C - Outstanding Benefits: List of any pro-rated or outstanding benefits, leave days, or reimbursements
4. Schedule D - Social Security Details: Information regarding BPJS Employment and Health Insurance status and arrangements
5. Schedule E - Exit Checklist: Checklist of all administrative and operational tasks to be completed before final separation
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Energy
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Relevant Teams
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Personnel Administration
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