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Employee Separation Checklist Template

This document is a formal notice regarding the termination of an employee, detailing the necessary steps for clearing financial and property obligations. It includes sections for various departments to confirm the issuance and return of items such as ID cards, uniforms, and access keys. The document also requires signatures from relevant parties to acknowledge the completion of the clearance process.

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deganishdh
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105 views1 page

Employee Separation Checklist Template

This document is a formal notice regarding the termination of an employee, detailing the necessary steps for clearing financial and property obligations. It includes sections for various departments to confirm the issuance and return of items such as ID cards, uniforms, and access keys. The document also requires signatures from relevant parties to acknowledge the completion of the clearance process.

Uploaded by

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

TO ALL CONCERNED

Please be informed that ___________________________________ of __________________________ Department ceases to be an


employee of this effective at ____________ AM/PM on ________________________, 20_____.
Kindly clear him/her of financial and/or property obligation(s) as far as your office/department is concerned. Thank you.

A. IT MANAGER D. HUMAN RESOURCES

Particulars Issued Returned Particulars Issued Returned

· Log On Pasword · Locker Key

. Manuals · ID Card

. Email Access · Employee Handbook

. Fotocopy ID · SBI PIN

. Power Pro Access · Medical Insurance Card

· Separation Agreement

____________________ ________________ ____________________ _________________

Name/Signature Date Name/Signature Date


B. HOUSEKEEPING E. ACCOUNTING (PAYMASTER)

Particulars Issued Returned Particulars Issued Returned

· Uniforms · Petty cash/Note of Indebtedness

® · House Fund

® · Others ( Cooperative Loan, etc)

® Yes No

® · OC/EN/PA # (deleted)

· Others · C/L Balances (paid)

____________________ ________________ ____________________ _________________

Name/Signature Date Name/Signature Date


C. DEPARTMENT HEAD F. COOPERATIVE

Particulars Deleted Particulars Issued Returned

Yes No · Cooperative member card

. Internal Metal key(s) · Others (Loan, etc)

. Shoes (Culinary only) * Note (for Payroll back up):

· Office Equipment

. Manuals

· Others

____________________ ________________ ____________________ _________________

Name/Signature Date Name/Signature Date

I further acknowledge that I have received all benefits due to me

Associate Signature Associate Name

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