Employee Name:________________________________________ Termination Date: ____/____/____ Position:__________________________________ Department: _____________________________ Reason for Termination:______________________________________________________________

TERMINATION CHECKLIST:

  Exit Interview Date _____/_____/_____   Exit Interview Notes in File   Resignation Letter Received (if applicable)   Open Requisition Completed   Forwarding Address: _______________________________________________________________________________ Street                                             City                           State                         Zip

EMPLOYER PROPERTY

  Office Keys City   Cell phone                        Yes    No     Not Applicable   Pager                                Yes    No     Not Applicable   Credit Card   Laptop   Other                                Yes    No     Not Applicable

ACCESS CANCELLATION

  Building Alarm Code Cancelled   Disconnect Computer Login   Email Address Removed from Staff List   Desk/workspace Area Cleaned Out   Employee Voicemail Removed   Name Removed from Time Clock if Applicable   Name Removed from […]