Employee Separation Request

Employee Separation Request

MANAGER FORM
Choose one:

Onboard New EmployeeTermination Request
YOUR Name (person completing this form)

First NameLast Name
Your Email address
example@example.comSettings
EMPLOYEE INFORMATION
Employee Name*

First NameLast Name
Location*
Employee Email Address*
example@example.com
Upload Resume, if applicable:

Browse Files

Cancelof
Title
Start Date:

MonthDayYear
Date
- New Hire Documents:
  
  A copy of the Biometric Information Privacy Policy
  
  MUST be given to the Employee
  
  Elm Lawn Biometric Information Privacy Policy
  
  Fairview Memorial Park Biometric Information Privacy Policy
  
  Mount Hope Cemetery Biometric Information Privacy Policy
  
  Clarendon Hills Cemetery Biometric Information Privacy Policy
  
  Cell Phone Usage Policy (All locations)
  
  Chicago Clean Air Ordinance (All locations)
  
  Transportation Safety Procedure (All locations)
  
  USCIS Form I-9 - Exp 10-2022 (All locations)
  
  2021 Federal W-4 (All locations)
  
  2021 Illinois W-4 (All locations)
  
  Direct Deposit Authorization (All locations)
  
  Notice of Exchange (Mount Hope only)
  
  Company Property Receipt (Mount Hope only)
  
  Memorandum of Understanding (Mount Hope only)
  
  2020-2021 Benefits Booklet (Kelly distributes this when EE is eligible)
  
  Employee Discount - Company Products & Services (Informational only)
  
  Troost Employment Application 2019.08.12 (this is usually submitted online)
  
  Customer Service Procedure (All locations)
  
  NEW!!! COVID-19 documents:
  
  Essential Business Employee Travel Certificate (All locations)
  
  FFCRA Poster (All locations)
  
  Self-Certification Form (All locations)
- New Hire check list:
- State/Federal/Payroll:
  
  I-9 (DO NOT COPY ANY IDENTIFICATION DOCUMENTS - VIEW ONLY)Illinois W-4Federal W-4Direct DepositSigned Employment Agreement
- NEW!!! COVID-19 (SEE LINKS ABOVE)
  
  Travel certificateDOL posterSelf-Certification Form
- Company Policy:
  
  Cell Phone UsageTransportation Safety ProcedureProfessional ConductBiometric Information Privacy PolicyCompany Property ReceiptNotice of ExchangeChicago Clean Air OrdinanceMemorandum of UnderstandingCustomer Service ProcedureOther
- What equipment/items was this employees issued? Boots, keys, etc. Please list each item
- Document(s) upload:
- Employment Application:
  
  Completed Employment Application
  
  Cancelof
- Corra:
  
  Completed Background Check Authorization
  
  Cancelof
- Corra:
  
  Background Check Results
  
  Cancelof
- Drug Screen Results:
  
  Drug Screen Results
  
  Cancelof
- New Hire Packet Upload
  
  New Hire Packet Upload
  
  Cancelof
- Payroll (W4 / Direct Deposit):
  
  Payroll Documents
  Federal W-4, Illinois W-4, Direct Deposit Cancelof
- Company policies & others
  
  Company Policies
  See check list - 8 documents Cancelof
- I-9:
  
  USCIS Form I-9
  
  Cancelof
- Hourly / Salary
  
  HourlySalary
- Wage
- Status:
  
  Full-TimePart-TimeSeasonalTemporary
- Department:
  
  GroundsAdminFSC
- Technology requirements:
  
  Email onlyEmail & O365LaptopDesktopMobile phone
- Pre-Employment:
  
  Employment ApplicationBackground Check AuthorizationBackground Check ResultsDrug Screen Results
- Health Care Eligible
  
  YesNo
- Date of Health Care Eligibility:
  
  MonthDayYear
  Date
- 401k Eligible:
  
  YesNo
- LIfe Insurance Eligible:
  
  YesNo
- Notify Pulse (only select YES when you are ready for Pulse to create an account for the candidate!)
  
  YesNo
- Respond to Email
- Help Desk will automatically be notified of this termination request.
- Your Name
  
  First NameLast Name
- Your Phone Number
  
  Area CodePhone Number
- Last Date of Work:
  
  MonthDayYear
  Date
- Is this an Immediate Separation?
  
  Yes (Disable accounts now)No (Disable accounts end of last work day)
- Immediate
- Life/STD Policy Cancellation Effective Date:
  
  MonthDayYear
  Date
- Medical Benefits Cancellation Effective Date:
  
  MonthDayYear
  Date
- Employee paid through:
  
  MonthDayYear
  Date
- Does the user's network account need to remain enabled?
  
  YesNo
- Would you like the password changed?
  
  YesNo
- If the password is changed, you will be contacted with the new password information
- Download a copy of the Termination Checklist here
- Is Employee Eligible for Rehire
  
  YesNo
- Reason Employee is not eligible for rehire:
- Describe positive/impactful traits for this employee (even if you are terminating this employee for a negative reason, it's helpful to understand what qualities or traits this employee may have brought to the organization, if any)
- Describe negative traits for this employee (these would be things we would try to filter out of a new candidate search)
- Does this employee have Troost Email?*
  
  YesNo
- Does the user's incoming email need to be forwarded to another user?
  
  YesNo
- Email to Forward to:
  This is the email address you want the employee's Troost email to be forwarded to
- Does anyone need access to the user's historical email?
  
  YesNo
- Person to receive access to historical email:
  
  First NameLast Name
- Phone number of person to receive access to historical email:
  
  Area CodePhone Number
- Does this employee have a desk extension?*
  
  YesNo
- Employee Name & Extension to Forward to:
  Enter the name and extension of who should receive the former employee calls.
- Any additional items to complete for this user?
- Help Desk notification
- Please note:
  
  You must submit a request to Scott Troost to rehire for this position.
  You will be redirected to the request form immediately following this submission.
- Please note:
  
  You must submit a request to Scott Troost to rehire for this position.
  You must complete the Request Form at a later time.
  The position will not be backfilled until a request has been received.
- Do you need to replace this employee?
  
  Yes, and take me to the Request Form immediatelyYes, and I will complete the Request Form laterNo
- What is the urgency to backfill the position?
  
  ImmediatelyWithin a monthOther
- Please upload the termination check list for this employee and ANY/ALL disciplinary reports*
  
  Browse Files
  This is REQUIRED for all employee terminations Cancelof
- Comments:
- Cemetery Manager
- Manager Email
  example@example.com
- HelpDesk Termination & new hire Notification email
  example@example.com
- HelpDesk Termination & new hire notification name
- Name
  
  First NameLast Name
- Should be Empty: