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Employee Exit Checklist: Voluntary Separation

This document outlines the steps a supervisor must take when an employee leaves or transfers to another agency. It includes collecting resignation letters and exit surveys from voluntarily separating employees, contacting HR in advance for involuntary separations, completing final time sheets and payroll forms, retrieving agency property, and placing a signed copy in the employee's personnel file. The supervisor and employee must sign and date the form to confirm they reviewed the exit checklist.

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0% found this document useful (0 votes)
235 views2 pages

Employee Exit Checklist: Voluntary Separation

This document outlines the steps a supervisor must take when an employee leaves or transfers to another agency. It includes collecting resignation letters and exit surveys from voluntarily separating employees, contacting HR in advance for involuntary separations, completing final time sheets and payroll forms, retrieving agency property, and placing a signed copy in the employee's personnel file. The supervisor and employee must sign and date the form to confirm they reviewed the exit checklist.

Uploaded by

Chandru
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Employee Exit Checklist

It is the responsibility of the supervisor to ensure that the separation steps outlined below are reviewed
and taken when an employee is leaving or transferring to another agency. This form should be completed
by the supervisor and employee. Sign and date the form to confirm your review of the checklist with the
employee.

Employee Name: _________________________

Personnel ID Number: _____________________

Title: ___________________________________

Department: _____________________________

Last Day of Work (in paid status): _____________

Supervisor: _______________________________

Voluntary Separation

Ask the employee for a letter of resignation.

Ask the employee to complete the Employee Exit Survey.

Involuntary Separation – CONTACT DES Primary Consultant IN ADVANCE

Confirm last day of employment (in paid status).

Determine the appropriate process for removal of the employee’s contents from office or workspace
and secure computer networks and files.

Before Employee’s Last Day – Complete these forms or initiate these processes.

PPDS/Include the Exit Checklist and send to [email protected]

Final Time Sheet (if applicable) Update current address for Payroll W-2

Outstanding travel vouchers Fiscal reimbursements

Last pay date: __________ Direct Deposit (check one): Yes No

Retrieve, cancel, or secure the following items:

Staff Identification Card Office and/or desk keys Pager, Laptop and/or cell phone Parking
hang tag Telephone calling card Purchasing Card and/or Credit Cards Department network/e-mail
account & Electronic files Voice mail password Other Agency property _______________

Supervisor

______________________________________
Employee Exit Checklist

Date

NOTE: Place a signed copy in the employee’s personnel file.

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