[Date]

[Address]

Attention: Chairman of the Board of Directors of HNI Corporation
Chairman of the Public Policy and Corporate Governance Committee
Vice President, General Counsel and Secretary

Dear __________:

In accordance with the HNI Corporation Corporate Governance Guidelines, I hereby offer to submit my resignation as a director of HNI Corporation due to a substantial change in my professional status. Such change consists of

_____________________________________________________________________
____________________________________________________________________.

[Despite this change, I would like to remain a director and continue to serve on HNI Corporation’s Board of Directors.]