Northern Virginia Doctors Hospital termination form for employee Jack, voluntary resignation
Title revised to match the document’s own text.
Original title: Northern Virginia Doctors Hospital termination form for Jack Coffelt
Document date 29 March 1972
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Id: Cooper-Part-86:059-059
Subject: Cooper Files: Cooper-Part-86:059-059 Document: Northern Virginia Doctors Hospital termination form for employee Jack, voluntary resignation Id: Cooper-Part-86:059-059 Page: https://cooper.theunsolved.net/documents/Cooper-Part-86%3A059-059 What is wrong (title, date, type, which pages belong together, copies)? What does the scan show?
A person reads every report. Corrections are made by hand, to the data — titles, dates, names, which pages belong together — never to the scans, and they can take a while to appear.
FBI 164-81, Vault Part 86 p. 59, Form, dated 29 Mar 1972 — cooper.theunsolved.net/documents/Cooper-Part-86%3A059-059
NORTHERN VIRGINIA DOCTORS HOSPITAL Arlington, Virginia
TERMINATION
Date: 3-29-72
Employee's Name: Jack [First] __________ [Middle] COOPER [Last]
Department __________ Position __________
Reason For Termination: (Check One) Voluntary Resignation: [checked] End Temp. Assignment: __________ Discharge: __________ Other: __________
Remarks: (Briefly indicate nature of action.) Sudden death in family - prolonged legal matters to settle concerning Death.
Employees Rating: Excellent Very Good Good Satisfactory Unsatisfactory Performance [checked] Attendance [checked] Attitude [checked] Appearance [checked] Personality [checked]
Remarks: Employed only short time But eager & willing worker. Tried Almost too hard to please people. Did work thoroughly & with pride in his work, was on leave without pay But Affairs took longer than expected to settle.
Last Day Actually Worked: FRI Apr 24 Mar 3, 1972 Day Date Would you rehire? [Yes checked] Subject To: __________
Supervisor: [REDACTED b6/b7C] R.N. O.R.S.
NOTED AND APP[ROVED]
Adminis[tration] Northern Virginia Doctors Hospital Termination record received: [checked] (Date) REMARKS: Earnings record file: [checked] Leave slip filed: [checked] Time card filed: [checked] Record card filed: [checked] [Hist/information cancelled]: [checked] Form # Switchboard: [checked]