Edit, Download, and Sign the Employee Exit Checklist Form Instructions

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How do I fill this out?

To fill out the Employee Exit Checklist Form, you'll need to gather information regarding your last day of employment and return any district-owned items. Follow the instructions closely and ensure all sections are completed. Schedule an exit conference and provide the necessary signatures.

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How to fill out the Employee Exit Checklist Form Instructions?

  1. 1

    Provide written notification of resignation or retirement.

  2. 2

    Submit attendance forms for manager approval.

  3. 3

    Complete the Employee Exit Checklist Form by the last day of employment.

  4. 4

    Schedule an exit conference with the Benefits Specialist.

  5. 5

    Complete the Employee Exit Survey.

Who needs the Employee Exit Checklist Form Instructions?

  1. 1

    Faculty separating from employment need this form to complete their exit process.

  2. 2

    Staff members who are resigning or retiring must fill out this form.

  3. 3

    Departments need this form to ensure all district property is returned.

  4. 4

    HR Specialists use this form to manage the employee's exit process.

  5. 5

    Employees moving to a new job opportunity will need to complete this form.

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  1. 1

    Open the Employee Exit Checklist Form on PrintFriendly.

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    Click on the fields to enter your information.

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  4. 4

    Review all entries to ensure accuracy.

  5. 5

    Save the edited form and proceed to submit.

What are the instructions for submitting this form?

Submit the completed Employee Exit Checklist Form to the respective district offices for signatures. Contact the District Police at (WV) Across from P.E./Pool, 741.2092 for parking permit and key return. Reach Information Systems at (WV) Behind Pool 741.2086 for access termination. Contact District Finance at (WV) Admin. Bldg. 741.2085 for credit card return, HR/Benefits at (WV) Admin. Bldg. 741.2168 for benefits termination, and the Chancellor’s Office at (WV) Admin. Bldg. 741.2011 for conflict of interest clearance. Ensure all signatures are obtained and submit the form to Human Resources. My advice is to start the process early and coordinate with the respective departments to avoid any delays.

What are the important dates for this form in 2024 and 2025?

Ensure that the Employee Exit Checklist Form is filled out and submitted by your last day of employment.

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What is the purpose of this form?

The Employee Exit Checklist Form is designed to ensure a smooth and efficient separation process for employees leaving the West Valley-Mission Community College District. The form helps in returning all district-owned items, canceling access to district systems, and clearing any outstanding salary advances before issuing the final separation payment. Timely completion of this form helps in minimizing potential department costs associated with unreturned property and resources, ensuring a responsible and orderly exit. Completing the form also aids in securing district systems and maintaining confidentiality obligations post-separation. Moreover, it works as a communication tool between the departing employee, their department, and HR, ensuring all parties are aligned in the separation process.

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Tell me about this form and its components and fields line-by-line.

The form includes various fields that need to be filled out to complete the employee exit process.
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  • 1. Employee Data: Includes basic information about the employee, such as name, employee ID, title, last day of employment, department, and location.
  • 2. Type of Separation: Specifies the type of separation, including resignation, retirement, or other specified reasons for leaving.
  • 3. District Clearance: Requires signatures from various district offices to confirm the return of district property and termination of access.
  • 4. Department Clearance: Ensures all department property is returned, absences are submitted, and email/voicemail are cleared.
  • 5. Forwarding Address: Provides an area for the employee to give their forwarding address for record updates.
  • 6. Employee Acknowledgment: Contains a field for the employee's signature to acknowledge the obligation to maintain confidentiality.

What happens if I fail to submit this form?

Failure to submit the Employee Exit Checklist Form may result in delays in processing final separation payments and potential costs to the department for unreturned property.

  • Delayed Final Payment: Your final separation payment may be delayed until the form is completed and submitted.
  • Department Costs: The department may incur costs associated with unreturned district property and resources.
  • System Access: Failure to cancel access to district systems may lead to unauthorized access issues.

How do I know when to use this form?

Use this form when separating from employment with the West Valley-Mission Community College District to ensure all district property is returned and access is canceled.
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  • 1. Resignation: When an employee resigns from their position.
  • 2. Retirement: For employees retiring from the district.
  • 3. End of Contract: When an employee's contract ends and they are departing the district.
  • 4. Job Transition: Employees moving to a new job opportunity need to complete this form.
  • 5. Personal Reasons: Employees leaving for personal reasons must fill out this form.

Frequently Asked Questions

How do I fill out the Employee Exit Checklist Form?

Gather your employment details, return district-owned items, and complete all sections of the form through our PDF editor.

Can I edit the form on PrintFriendly?

Yes, you can edit the form directly using our PDF editor. Simply click on the fields and input your information.

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Use our integrated e-signature feature to sign the form digitally. Click on the signature option within the PDF editor.

Can I share the completed form?

Yes, after completing and signing the form, you can share it via email or by generating a shareable link.

Do I need to submit the form by a certain date?

Ensure to complete and submit the form by your last day of employment as outlined in the instructions.

Who needs to sign the form?

The form requires signatures from district offices and your department supervisor to confirm clearance.

How do I cancel my access to district systems?

Indicate the cancellation request within the Information Systems section of the form and obtain the necessary signature.

Where do I return district-owned items?

Return items to the respective district office and obtain the signature confirming return.

When will I receive my final separation payment?

Final separation payment is provided on the next scheduled payroll cycle after form completion and approval.

What happens if I don't complete the form?

Failure to complete the form may result in delays in your final separation pay and potential costs to your department.

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