Employee Exit Arbitration Agreement

This Employee Exit Arbitration Agreement ("Agreement") is made and entered into by and between:

Employer:

Employee:

Date:

1. Agreement to Arbitrate

2. Scope of Arbitration

3. Exclusions

4. Arbitration Procedure

5. Governing Law

6. Entire Agreement

7. Acknowledgment

Employee Signature Date:

Employer Representative Signature Date: