Template

Exit Interview Template

An exit interview form to capture a departing employee's reasons for leaving and feedback for the organisation.

EXIT INTERVIEW FORM

[Company Name] · Employee: [Name], [Emp ID] · Designation: [..] · Last Working Day: [DD/MM/YYYY]

Reason for Leaving

Primary reason: [Better opportunity / Compensation / Relocation / Work environment / Personal / Higher studies]

AspectRating (1–5)Comments
Role & job satisfaction[..][..]
Relationship with manager[..][..]
Compensation & benefits[..][..]
Growth & learning opportunities[..][..]
Work culture & environment[..][..]

Feedback & Suggestions

What did you value most? [..] · What could we have done better? [..] · Would you recommend us as an employer? [Yes / No]

Exit Clearance

Company assets returned: [Yes / No] · Handover completed: [Yes / No] · Full & final settlement initiated: [Yes / No]

Conduct the interview in a neutral, non-judgmental tone; use recurring themes to reduce attrition and improve retention. Employee Signature: ___ · HR Signature: ___

Before you use it — fill in / check

  • Company/employee
  • Last working day
  • Reason/rating
  • Date

How to use this template

  1. Read through and replace every [bracketed] or blank placeholder with your actual details.
  2. Delete any clause that doesn't apply and add anything specific to your situation.
  3. Click Print / Save as PDF to download, or Copy text to paste into your letterhead.
  4. Get it signed / stamped / notarised as required, and keep a copy for your records.

This is a general, editable template for convenience only — not legal advice. For anything material, have a professional review it. TaxClue isn't liable for how it's used.