Employee exit form
Hiring manager name
*
First Name
Last Name
Hiring manager email address
*
example@ayzenberg.com
Name of exiting employee
*
First Name
Last Name
Employee location
*
Employment type
*
Please Select
Staff
Freelance
Contractor (Check with HR for approval)
Intern
Employees last day
*
-
Month
-
Day
Year
Date
Does anyone report directly to this employee?
*
Please Select
Yes
No
Who should their reporting be updated to in Paycom and Workamajig?
a.tech will retain a 30 day backup for this user. Will you need the backup to be retained for longer? If Yes, Specify the length of time.
Please Select
No Backup Needed
60 days
90 days
6 months
1 year
Indefinitely
Will this employee be returning equipment physically to the office?
*
Please Select
Yes
No
Will they need a prepaid FedEx box sent to their home address?
*
Please Select
Yes
No
Please provide the employees home address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Was this freelancer assigned an a.network computer by a.tech?
*
Yes
No
Equipment that will be returned. Check off all that apply
*
Laptop/Computer (Please include chargers)
Monitors
Keyboard and Mouse
Office chair
Other equipment to be returned (Cell Phones, Gaming consoles, Hard drives, Etc)
*
Additional notes for Payroll, a.finance, HR or a.tech.
Submit
Should be Empty: