Severance review checklist
A printable from Should I sign a severance agreement?. Fill it in by hand. Nothing you write is collected by this website.
Severance review checklist
- Date I got the agreement: ________
- Deadline to sign: ________ (at least 5 business days; 21 or 45 days if I am 40+)
- 7 day cancel window, if 40+: ends ________
- Final pay and vacation already paid? Yes / No
- Amount offered: $________ Paid when: ________
- Health coverage after I leave: ________
- Claims I might be giving up: ________________
- Secrecy clause includes the "unlawful acts" sentence? Yes / No
- No rehire clause? Yes / No
- Repayment clause? Yes / No
- Reference terms: ________
- What I want to ask for: ________________
- Clinic or lawyer called on: ________
- Copy of signed agreement in my files
From Should I sign a severance agreement?. Facts checked October 21, 2026. Free information, not legal or medical advice.