Employee Separation Checklist Form


An employee separation checklist form is a reminder of all the tasks that must be completed before the ties between the employee and employer are permanently severed. The form must provide specific details about these requirements and lay out a clear course of action for the HR department and other staff members managing the departure. An employee may leave due to various reasons but in order to ensure that the process is smooth for both the employee and the administrative department of the company handling the employee’s exit, going through the employee separation makes things easier and more organised. There may certain things to be filled up by the employee, while some are written by the department head.

Sample Employee Separation Checklist Form

To be filled by the supervisor

Complete personal action form

Attach copy of resignation letter

Verify current email ID

Check if employee has completed the required assignments

To be filled by library

Check if all books have been returned

Check if any journal or document is pending

To be filled by systems department

Revoke the employee’s access to the company computer network

Remove employee’s name from the company’s official mail ID list

To be filled by administration department

Retrieve all IDs, company keycards, keys etc

Verify if employee has returned all company work products

To be filled by accounts department

Check employee’s time entered in the system or register

Ask how employee would like to receive the last salary

Check any pending reimbursements

Signature of department head:

Date

Signature of employee:

Date:


Category: HR Forms

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