Employee Exit Checklist Form Instructions
The Employee Exit Checklist Form ensures all district-owned items are returned, access to district systems is canceled, and salary advances are cleared before final separation pay. It outlines the responsibilities of both the employee and the department during the separation process. This form is critical for faculty and staff who are separating from employment for any reason.
Edit, Download, and Sign the Employee Exit Checklist Form Instructions
Form
eSign
Add Annotation
Share Form
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.

How to fill out the Employee Exit Checklist Form Instructions?
1
Provide written notification of resignation or retirement.
2
Submit attendance forms for manager approval.
3
Complete the Employee Exit Checklist Form by the last day of employment.
4
Schedule an exit conference with the Benefits Specialist.
5
Complete the Employee Exit Survey.
Who needs the Employee Exit Checklist Form Instructions?
1
Faculty separating from employment need this form to complete their exit process.
2
Staff members who are resigning or retiring must fill out this form.
3
Departments need this form to ensure all district property is returned.
4
HR Specialists use this form to manage the employee's exit process.
5
Employees moving to a new job opportunity will need to complete this form.
How PrintFriendly Works
At PrintFriendly.com, you can edit, sign, share, and download the Employee Exit Checklist Form Instructions along with hundreds of thousands of other documents. Our platform helps you seamlessly edit PDFs and other documents online. You can edit our large library of pre-existing files and upload your own documents. Managing PDFs has never been easier.

Edit your Employee Exit Checklist Form Instructions online.
On PrintFriendly, you can edit the Employee Exit Checklist Form directly within the PDF editor. Simply click on the fields and type in your information. Save your changes once completed and proceed to submit the form.

Add your legally-binding signature.
With PrintFriendly, you can sign the Employee Exit Checklist Form using our integrated e-signature feature. Open the PDF in our editor, click the signature option, and add your digital signature. Make sure to save your signed form before submitting.

Share your form instantly.
Sharing your completed Employee Exit Checklist Form is easy with PrintFriendly. Open the PDF, complete and sign the form, then click the share option. You can share the form via email or generate a shareable link.
How do I edit the Employee Exit Checklist Form Instructions online?
On PrintFriendly, you can edit the Employee Exit Checklist Form directly within the PDF editor. Simply click on the fields and type in your information. Save your changes once completed and proceed to submit the form.
1
Open the Employee Exit Checklist Form on PrintFriendly.
2
Click on the fields to enter your information.
3
Use the e-signature feature to sign the form.
4
Review all entries to ensure accuracy.
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.

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.

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

- 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?

- 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.
How do I sign the form?
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.
Related Documents - Exit Checklist Form

Preparticipation Physical Evaluation Form
The Preparticipation Physical Evaluation Form is used to assess the physical health and fitness of individuals before they participate in sports activities. It covers medical history, heart health, bone and joint health, and other relevant medical questions.

Health Insurance Tax Credits Guide 2015
This document provides a comprehensive guide on health insurance and premium tax credits for the 2015 tax year. It explains the tax filing rules, eligibility criteria, and detailed instructions for claiming and reporting premium tax credits. Essential for individuals who bought health insurance through the ACA Marketplaces.

TSP-77 Partial Withdrawal Request for Separated Employees
The TSP-77 form is used by separated employees to request a partial withdrawal from their Thrift Savings Plan account. It includes instructions for completing the form, certification, and notarization requirements. The form must be filled out completely and submitted along with necessary supporting documents.

Ray's Food Place Donation Request Form Details
This file contains the donation request form for Ray's Food Place. Complete the general information section and follow the guidelines to submit your donation request at least 30 days in advance. The form includes fields for organization details and donation specifics.

Pastoral Ministry Evaluation Form for Board of Elders
This evaluation form is designed for the Board of Elders to assess and provide feedback on a pastor's ministry. It aims to offer affirmation and identify areas for improvement. The form covers preaching, worship leading, pastoral care, administration, and more.

Health Provider Screening Form for PEEHIP Healthcare
This file contains the Health Provider Screening Form for PEEHIP public education employees and spouses. It includes instructions on how to fill out the form for wellness program participation. The form collects personal, medical, and screening details to assess wellness.

Common Law Marriage Declaration Form for FEHB Program
This form is used to declare a common law marriage for the purpose of enrolling a spouse under the Federal Employees Health Benefits (FEHB) Program. It requires personal details, marriage information, and additional documentation. Submission instructions and legal implications are included.

MyPRALUENT™ Enrollment Form Instructions and Details
This document provides comprehensive instructions and details for enrolling in the MyPRALUENT™ program, including benefits, patient assistance, and clinical support. It outlines the required patient, insurance, and prescriber information, as well as the steps for treatment verification and household income documentation.

Application for Certified Copy of Birth Certificate
This form is used to request a certified copy of a birth certificate from the Clerk of Court Office. It includes details about the applicant, the person named on the certificate, and requires a photo ID and the correct fee. This form is only for walk-in services.

Torrance Memorial Physician Network Forms for Patients 18+
This file contains important forms for patients 18 years and older registered with Torrance Memorial Physician Network. It includes patient registration, acknowledgment of receipt of privacy practices, and financial & assignment of benefits policy forms. Complete these forms to ensure your medical records are up-to-date and to understand your financial responsibilities.

Vodafone Phone Unlocking Guide: Steps to Unlock Your Phone
This guide from Vodafone provides a step-by-step process to unlock your phone. Learn how to obtain your unlock code by filling out an online form. Follow the instructions to complete the unlocking process.

Texas Automobile Club Agent Application Form
This file is the Texas Automobile Club Agent Application or Renewal form, which must be submitted within 30 days after hiring an agent. The form includes fields for agent identification, moral character information, and requires signature from both the agent and an authorized representative of the automobile club. Filing fees and submission instructions are also provided.