Employment Separation Certificate form (SU001)

Use this form to certify important employment information.

You don’t need to give us an Employment Separation Certificate. We removed it due to coronavirus (COVID-19). We’ll let you know when you need to start using it again.

Download and complete the Employment Separation Certificate.

Employers can read more about Employment Separation Certificates.

This PDF is fillable. You can fill it out on your device, or print it and complete it by hand.

If you have a disability or impairment and use assistive technology, you may not be able to access our forms. If you can’t, please use self service, request someone to deal with us on your behalf, or contact us. We can help you access, complete and submit them.

Page last updated: 3 December 2020