I would not give any reason for leaving. 1. Enter the account holder's first name, last name, and address in the designated fields.Parties referring to this sample should ensure that its contents are appropriate for their use before adoption. They are also reminded to seek independent. A release letter should show the contract's actual end date and include the final payments you gave your domestic helper. You can find sample contracts here. Forms for filing for an Order of Protection or Injunction Against Harassment in an Arizona State Court.