A Request Letter for a Certificate of Separation is a formal letter written by an employee to their former employer, requesting an official document that confirms the termination of their employment with the organization. The letter is not standard in many workplaces. However, some circumstances require this letter to be written, such as:
- New employment requirement
- Visa requirements for a specific country
- Loan or financial assistance application
- Personal record or portfolio
- Legal clearance or background checks
Here are a couple of samples to help you.
#1
Re: Request for Certificate of Separation
Dear [Name], I hope this letter finds you well. I am writing to formally request that you grant me a certificate of separation from the organization. My employment at this organization was subject to a one-year contract. According to the official record, my position at the organization will be dissolved on [date]. The mentioned date has passed, and my position has been terminated. I request a certificate that clearly states my separation and the terms and conditions of my employment.
My time at the organization was amazing. It would not be hyperbole to call it one of the best experiences I have ever had in my professional career. I am confident that this experience will be of great value to my job. I tried my best to work in the best interest of the organization. I met amazing coworkers who make a great team together. My professional skills and communication improved while working with clients from diverse backgrounds and experiences.
According to the HR Manager, this position has been dissolved, and the organization does not plan to extend the contract. Therefore, I need to apply for other jobs in the market that require my certificate of separation from the organization. The certificate must clearly state the terms of the contract, my position, and detailed working responsibilities.
For your convenience, I have attached a copy of my appointment letter to this letter, which can be used for reference purposes. Please provide me with the certificate of separation, as I have to submit a copy to the federal Department of the Board and to the firm I am looking forward to working at. I will be very grateful. Thank you.
Best Regards.

#2
Re: Request for Certificate of Separation from the Company’s Department of Marketing, Engineering & Communication Board
Dear Mr. [Name],
This letter serves to request a certificate of separation from the company and its Department of Marketing, Engineering, and Communication Board, where I have been working as a Marketing and Communication Assistant (MCA) since 20XX. My employment will end on [date], as per the hiring contract.
I do not wish to extend the contract as I am moving from [name the state] due to [mention the reason]. I am unable to continue working on-site or remotely as an MCA while residing in another state. Therefore, I have decided not to request an extension of my hiring contract period.
As I am moving from the state permanently, according to the terms and conditions of the Federal Agency of Migration, I am required to submit my certificate of separation, which will confirm the end of my contract and indicate that I am no longer a subject of [Name the Organization]. For this purpose, I need my certificate of separation from the company as soon as possible.
My flight has been booked for [Date], and I have to send the PDF of this certificate to the agency before I depart. In other cases, they will not allow me to migrate. I will be grateful if you do that. I am sure that the company still has my record. If you have any questions, please don’t hesitate to contact me by phone at [phone number] or by email at [email]. Thank you!
Regards,
[Name]
[Signature]

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