Employee Exit Checklist: Voluntary Separation
Employee Exit Checklist: Voluntary Separation
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.
Title: ___________________________________
Department: _____________________________
Supervisor: _______________________________
Voluntary Separation
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.
Final Time Sheet (if applicable) Update current address for Payroll W-2
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