Cessation of Work form

Name*

First Last

Email*

I confirm I no longer wish to receive work from The Transcription Agency*

Yes

Reasons for ceasing work for The Transcription Agency*

I am aware and understand that by selecting 'Yes' above:*

1) my obligation to maintain the confidentiality and security of Confidential Information remains even after my provision of services with TTA ends and continues for so long as such Confidential Information remains a trade secret and/or solely the property of TTA and/or its client.

Yes

*

2) I understand that the unauthorized disclosure of TTA and its clients’ Confidential or Proprietary Information is grounds for court action for breach of confidentiality.

Yes

*

3) I have securely, fully and permanently erased all originals and copies of all documents, records, software programs, media and other materials containing any Confidential Information which was required to be kept for the duration of my provision of services from all applicable computer systems and transfer methods.

Yes

*

4) that The Transcription Agency may hold my personal information on its systems for the time required for The Transcription Agency to fulfil the purposes outlined in its Privacy Policy.

Yes

*

5) that beyond any existing business I have open with The Transcription Agency, I will not be contacted without due cause (unless I have opted in to receive further communication).

Yes

I confirm that I have received all applicable remuneration from The Transcription Agency for the services provided*

Yes
No

If you selected 'No' to the last statement, please detail the payments that are outstanding, including the invoice submission dates and times.

Please select all appropriate statements*

I would like to be contacted by The Transcription Agency in the future should they require my transcription/translation services.
I would like to be contacted regarding any new work opportunities at The Transcription Agency (outside of the service/s I have already provided for The Transcription Agency).
I do not wish to receive any future contact from The Transcription Agency without due cause