EMPLOYEE EXIT CHECKLIST
INTRODUCTION
This form assists you in obtaining all the relevant information as well as company issued items as part of an employee exit process. This checklist is to be completed prior to the termination of any staff member, whether it is a matter of resignation, retirement, transfer, or official leave. Each item on the list is to be considered with the date noted for the time action was taken and the initials of the employee verifying the action.
SAMPLE EXTRACT OF CHECKLIST
EQUIPMENT INVENTORY :
DATE COMPLETED |
INITIALS |
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| The employee has met with ___________________________ to: | ||
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FURTHER IN THIS DOCUMENT - SUBSCRIBERS ONLY
- Employee Details
- Equipment Inventory
- Fiscal / Program / Personnel
- Termination Considerations
- Other Considerations / Comments
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mployee’s Name __________________________________ Title __________________________
Location __________________________________________ Exit Date _____________________
Responsibility for the completion of this exit checklist lies with the exiting employee and the supervisor.
EQUIPMENT INVENTORY :
DATE COMPLETED |
INITIALS |
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| The employee has met with ___________________________ to: | ||
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FISCAL/PROGRAM/PERSONNEL:
| DATE COMPLETED | INITIALS | |
| The employee has met with ___________________________ to: | ||
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TERMINATION CONSIDERATIONS:
DATE COMPLETED |
INITIALS |
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| The employee has: | ||
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Other Consideration and/or Comments
Submitted: _________________________________________________________ Date: ____________________
(Employee)
Accepted: __________________________________________________________ Date: ____________________
(Supervisor)
This completed exit checklist should be filed with the supervisor upon completion and maintained in the exiting employee’s personnel file.
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