Leaver Form
Complete the form to process a leaver for Payroll.
Person Completing the Form:
*
Manager
Payroll
Resignation sent to:
*
First Name
Last Name
Employee Number:
*
Employee Name:
*
Reason for Leaving:
*
Please Select
Resigned
Dismissed
Retired
Withdrawn
Other
Leaving Date:
*
-
Day
-
Month
Year
Position:
*
Department / Area
*
Please Select
A/C
Central Support
Electrical
Finance
F&S
Gas/Mechanical
HCC
HR
IT
Maintenance Admin
PPM
Projects
SGH
SHE
Solent
Surrey
To be paid up to and including:
*
-
Day
-
Month
Year
Number of Days Holiday to be paid:
Deductions to be made?
*
Yes
No
What is the deduction for and the total value:
*
Payments to be made?
*
Yes
No
What is the payment for and the total value?
*
Do they have a company Vehicle?
*
Yes
No
All company vehicles must be collected by SMC for a safety check before being re-assigned.
What date is this vehicle being returned?
*
-
Day
-
Month
Year
May differ from leaving date if employee is taking holiday at the end of employment period
What Corrigenda office is this vehicle being returned to?
*
Please Select
Portsmouth
Segensworth
Southampton
Surrey
Whiteley
Winchester
Email Address for P45/Final Payslip:
*
example@example.com
Any additional Information:
Submit
Email Sender Name
Email Sender Address
example@example.com
Should be Empty: