Exit Interview Form Template – US

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Updated – 2025 /2026


Employee Feedback Summary

This document serves as a confidential summary of the departure interview process for employees ending their contracts. It is designed solely for internal review and does not replace legal or HR advice. The content and format provided are for general guidance and may require customization to adhere to organizational policies and local regulations. Users are responsible for ensuring the accuracy and appropriateness of the information included. We disclaim any liability for errors, omissions, or consequences resulting from the use or misinterpretation of this material without proper professional consultation.


PDF

PDF

Word

Word

Sample

Sample

Template

Template


Please be aware: This is a sample template of an Exit Interview Form for US employees, provided for illustrative purposes only. Actual content and format may differ based on organizational requirements and legal considerations.

Exit Interview Form US Sample

Employee Details:

Name: __________________________
Employee ID: _______________________
Department: _______________________
Position: _________________________

Reason for Leaving:

Please describe the main reasons for your departure, including any feedback or suggestions for improvement.

Feedback and Comments:

Provide your input regarding your work experience, management, work environment, and any other relevant topics.

Additional Comments:

Use this section to share any final thoughts or recommendations.

Date of Exit Interview: ________________________

________________________
HR Representative
________________________
Employee