HR document template

Separation agreement template

A severance and release agreement built around the federal 21/45-day consideration and 7-day revocation periods, with state add-ons noted. Copy it, download the Word document, or send a personalized agreement to every employee in a group separation at once.

State-specific requirements are in the table below.

Rendered separation agreement: letterhead, agreement title, and numbered clauses including severance, release of claims, and revocation

A separation agreement offers severance pay in exchange for a release of employment-related claims, on a consideration and revocation timeline set by federal law (and, in some states, extended further). It is typically offered during a layoff or a negotiated exit, not a routine termination.

A group layoff can mean preparing dozens of separation agreements at once, each with its own severance amount, consideration period, and revocation deadline calculated from the date it is sent. Upload this agreement as a Word template to MailMergic, upload a spreadsheet with each employee's terms, and generate one personalized agreement per row.

What is inside the Word download

More than a block of text an AI chat can improvise: a complete, formatted document built for HR teams who send it for real.

  • Seven numbered clauses: separation, severance, release of claims, consideration and revocation, non-admission, return of property, and governing law.
  • A Consideration and Revocation clause built around the federal OWBPA 21/45-day and 7-day timeline.
  • A two-signature block for the company and the employee.
  • Native Word merge fields for severance amount, consideration period, and revocation deadline, wired for a group layoff run.

The document

Copy the plain version below, or download the formatted Word document with your letterhead and layout built in.

{Agreement date}

SEPARATION AGREEMENT
RE: Separation agreement for [Employee Name]

Dear [Employee Name],

This Separation Agreement and Release (the Agreement) is entered into between {Company name} and [Employee Name] (Employee ID [Employee ID]), who holds the position of [Job Title] in the [Department] department.

1. SEPARATION OF EMPLOYMENT
Your employment with {Company name} will end on [Separation Date] (the Separation Date). After that date, you will no longer be an employee of {Company name} and will not be entitled to further wages, other than as described below.

2. SEVERANCE
In exchange for signing and not revoking this Agreement, {Company name} will pay you severance of [Severance Amount], less applicable withholdings. This payment is conditioned on this Agreement becoming effective as described in the Consideration and Revocation section below, and is not otherwise owed to you.

3. RELEASE OF CLAIMS
In exchange for the severance described above, you release {Company name} from all claims arising from your employment or its end, known or unknown, up to the date you sign this Agreement. This release does not cover any claim that cannot be waived by law, such as a claim for unemployment or workers' compensation benefits, or any right to file a charge with a government agency.

4. CONSIDERATION AND REVOCATION
You have [Consideration Period] from the date you receive this Agreement to consider it before signing. After signing, you may revoke your acceptance by notifying [HR Contact] in writing no later than [Revocation Deadline]. This Agreement does not become effective, and no severance is paid, until the eighth day after you sign it, provided you have not revoked.

5. NON-ADMISSION
This Agreement is not an admission by {Company name} of any wrongdoing or liability.

6. RETURN OF PROPERTY
By the Separation Date, you agree to return all company property, including keys, access cards, equipment, and any confidential materials in your possession.

7. GOVERNING LAW
This Agreement is governed by the laws of [Work Location State], without regard to its conflict-of-laws principles.

If you have any questions about this Agreement before you sign, please contact [HR Contact].

Sincerely,

______________________________
{Signer name and title}
For {Company name}
Date: ____________________

______________________________
[Employee Name]
Employee
Date: ____________________

Merge fields: one spreadsheet column each

Filled per employee in a bulk run, straight from your HR spreadsheet.

[Employee Name]Grace Lindqvist
[Employee ID]EMP-5062
[Job Title]Marketing Manager
[Department]Marketing
[Separation Date]August 29, 2026
[Severance Amount]$12,500 (eight weeks of base pay)
[Consideration Period]21 days
[HR Contact]hr@lumenwaresolutions.com
[Revocation Deadline]September 5, 2026
[Work Location State]Illinois

Fill in once before sending

Your own details, edited one time in Word (marked in amber in the download). No spreadsheet columns needed.

{Agreement date}August 15, 2026
{Company name}Lumenware Solutions LLC
{Signer name and title}Priya Anand, VP of People

Separation agreement consideration and revocation add-ons by state

Under the federal Older Workers Benefit Protection Act (OWBPA), an employee aged 40 or older must be given at least 21 days to consider a separation agreement before signing (45 days for a group layoff), plus 7 days to revoke after signing; this baseline is the same in every state and is already built into the letter above. The table below lists state add-ons layered on top of that federal baseline, such as an extra rescission right or a required unknown-claims waiver, and covers US states only.

StateRequired notice
AlabamaNo state add-on beyond the federal OWBPA baseline
AlaskaNo state add-on beyond the federal OWBPA baseline
ArizonaNo state add-on beyond the federal OWBPA baseline
ArkansasNo state add-on beyond the federal OWBPA baseline
CaliforniaA general release does not extend to claims the releasing party does not know or suspect to exist at the time of signing, and that would have materially affected the settlement if known, unless the release contains language expressly waiving this protection; separation agreements intended to cover unknown claims should quote or expressly waive Civil Code 1542
ColoradoNo state add-on beyond the federal OWBPA baseline
ConnecticutNo state add-on beyond the federal OWBPA baseline
DelawareNo state add-on beyond the federal OWBPA baseline
District of ColumbiaNo jurisdiction-specific add-on beyond the federal OWBPA baseline
FloridaNo state add-on beyond the federal OWBPA baseline
GeorgiaNo state add-on beyond the federal OWBPA baseline; Georgia is sometimes listed alongside California, Montana, North Dakota, and South Dakota as having an unknown-claims waiver statute, but no such Georgia statute could be located or verified
HawaiiNo state add-on beyond the federal OWBPA baseline
IdahoNo state add-on beyond the federal OWBPA baseline
IllinoisNo state add-on beyond the federal OWBPA baseline
IndianaNo state add-on beyond the federal OWBPA baseline
IowaNo state add-on beyond the federal OWBPA baseline
KansasNo state add-on beyond the federal OWBPA baseline
KentuckyNo state add-on beyond the federal OWBPA baseline
LouisianaNo state add-on beyond the federal OWBPA baseline
MaineNo state add-on beyond the federal OWBPA baseline
MarylandNo state add-on beyond the federal OWBPA baseline
MassachusettsNo state add-on beyond the federal OWBPA baseline; Massachusetts courts require that a release of Wage Act claims be stated in clear and specific terms, but this rule comes from case law interpreting the Wage Act, not from a standalone release or revocation statute
MichiganNo state add-on beyond the federal OWBPA baseline
MinnesotaA release of Minnesota Human Rights Act claims may be rescinded by the employee within 15 calendar days of signing, regardless of the employee's age; this runs separately from, and can run concurrently with, the federal 7-day ADEA revocation period. The employee must be informed in writing of the right to rescind, and rescission must be delivered in writing within the 15-day window; a release given in settlement of a charge already filed with an agency or court is final on execution
MississippiNo state add-on beyond the federal OWBPA baseline
MissouriNo state add-on beyond the federal OWBPA baseline
MontanaA general release does not extend to claims the releasing party did not know or suspect to exist at the time of signing, if knowledge of them would have materially affected the settlement, unless the release specifically and knowingly waives this protection
NebraskaNo state add-on beyond the federal OWBPA baseline
NevadaNo state add-on beyond the federal OWBPA baseline
New HampshireNo state add-on beyond the federal OWBPA baseline
New JerseyNo state add-on beyond the federal OWBPA baseline
New MexicoNo state add-on beyond the federal OWBPA baseline
New YorkNo enacted state add-on beyond the federal OWBPA baseline as of this writing; a bill passed by the legislature (the "No Severance Ultimatums Act") would require a 21-day consideration period and a 7-day revocation period for all severance agreements regardless of age, but it had not been signed into law as of this research and should be rechecked before relying on this row
North CarolinaNo state add-on beyond the federal OWBPA baseline
North DakotaA general release does not extend to claims the releasing party did not know or suspect to exist at the time of signing, if knowledge of them would have materially affected the settlement, unless the release specifically and knowingly waives this protection
OhioNo state add-on beyond the federal OWBPA baseline
OklahomaNo state add-on beyond the federal OWBPA baseline
OregonNo state add-on beyond the federal OWBPA baseline
PennsylvaniaNo state add-on beyond the federal OWBPA baseline
Rhode IslandNo state add-on beyond the federal OWBPA baseline
South CarolinaNo state add-on beyond the federal OWBPA baseline
South DakotaA general release does not extend to claims the releasing party did not know or suspect to exist at the time of signing, if knowledge of them would have materially affected the settlement, unless the release specifically and knowingly waives this protection
TennesseeNo state add-on beyond the federal OWBPA baseline
TexasNo state add-on beyond the federal OWBPA baseline
UtahNo state add-on beyond the federal OWBPA baseline
VermontNo state add-on beyond the federal OWBPA baseline
VirginiaNo state add-on beyond the federal OWBPA baseline
WashingtonNo state add-on beyond the federal OWBPA baseline
West VirginiaA state Human Rights Commission rule extends OWBPA-style protections to a release of any West Virginia Human Rights Act claim, not only age discrimination: at least 21 days to consider the agreement, written notice of the right to consult an attorney, and 7 days to revoke after signing, regardless of the employee's age; these periods can be waived when a filed complaint is settled with counsel involved
WisconsinNo state add-on beyond the federal OWBPA baseline
WyomingNo state add-on beyond the federal OWBPA baseline

Last reviewed August 2026. Spotted a change in your state? Tell us at support@mailmergic.com.

These templates and state tables are general information, not legal advice. Employment law varies by state and country and changes often; the tables on these pages cover US states only, while employment documents like these can create binding obligations in any jurisdiction. Confirm the current requirements for your jurisdiction or consult an employment attorney before sending.

Before you send this agreement

  1. 1.Confirm the Consideration Period is at least 21 days for an individual, or 45 days for a group layoff, per the federal OWBPA.
  2. 2.Calculate the Revocation Deadline correctly, generally 7 calendar days after the employee signs.
  3. 3.Check the table below for any state add-on, such as an extra rescission right or a required unknown-claims waiver, before finalizing.
  4. 4.Do not backdate the agreement or shorten the consideration period.
  5. 5.Have counsel review before use, especially for employees aged 40 or older or a group layoff.
  6. 6.Keep the signed agreement and any revocation notice on file.

When to use this template

Group layoffs

Prepare a batch of separation agreements on a consistent consideration and revocation timeline for everyone affected.

Negotiated individual exits

Generate a compliant agreement quickly once severance terms are agreed.

HR and outside counsel

Keep the agreement wording consistent while counsel reviews the severance amount and any state add-ons per employee.

Send it to every employee at once

One document, one spreadsheet, one personalized copy per employee. That is what MailMergic is for.

Upload the document template

Use the Word download as-is, or edit it first. The merge fields are already in place.

Upload your employee spreadsheet

One row per employee: name, ID, role, dates, whatever the document needs. Excel, CSV, and Google Sheets all work.

Generate and deliver

One personalized document per employee. Download all as PDFs, or email each employee with delivery and open tracking.

Separation agreement FAQ

How long does an employee have to consider a separation agreement?
Under the federal OWBPA, an employee aged 40 or older gets at least 21 days to consider the agreement before signing, or 45 days if it is offered as part of a group layoff. Some states add further rescission rights on top of that baseline; check the table above.
Can an employee revoke a separation agreement after signing?
Yes. Federal law gives at least 7 days to revoke after signing, and the agreement does not become effective, and no severance is paid, until that period passes. A few states extend or add to this revocation right, as noted in the table above.
Is severance pay required by law?
Generally no, severance is not required by federal law for an individual separation, though some states, cities, or union agreements can require it in specific situations like a mass layoff, and any severance you have already promised in a contract or policy is owed.
How do I prepare separation agreements for a group layoff?
Upload this agreement as a Word template to MailMergic, put each employee's severance amount, consideration period, and revocation deadline in a spreadsheet row, and run a mail merge to generate one personalized agreement per employee on a consistent timeline.

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