NOTE: The following termination agreement is a very basic template for churches and pastors to use strictly as a resource. This legal memorandum provides guidance regarding whether, when, and how severance pay may be provided to church employees who are terminated from church.Churches should consider using a severance agreement when a decision is made to dismiss an employee. We've created a sample employee termination form for church leaders. Vacation, Holiday, Severance or Separation Pay. A severance agreement in Utah is contract terms between an employee and an employer when the employment relationship is terminated. If you believe the wages or employers reported on the notice are not correct, please follow the instructions in the "Notice of Monetary Determination. You must include in income amounts you receive as severance pay and any payment for the cancellation of your employment contract. As I am no longer a member, I want my name permanently and completely removed from the membership rolls of the church. You'll need to send the letter to 3 recipients: Your Bishop; The Stake President, and finally to; LDS Membership Records in Salt Lake City.