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

