Full-time Employee Exit Form

Full-time Employee Exit Form
About the exiting employee
Exiting employee*
Exiting position*
Dates of record*
Resignation letter

Browse Files

Cancelof
Employee contact*

The employee's contact information will stay the sameThe employee's contact information will changeNot sure
Update address*

Street Address

Street Address Line 2

CityState

Zip Code
Update phone number*
Update email address*
example@example.com
Employee exit authorized by*

Executive directorHuman resources
Membership cancellation dates*
Plan for interim
Branch*

Camp WakondaCassville YMCADallas County Area YMCALebanon Family YMCAMonett Area YMCAOzark Mountain Family YMCAPat Jones YMCASchool Age ServicesWard Downtown YMCAAssociation Office
Exiting employee's supervisor*
To where should emails sent to the exiting employee be redirected?*
example@example.com
To whom should phone calls be redirected?*
HR checklist*

Send exit questionnaireCOBRA paperworkReturn keysReturn name badge and name plateSchedule exit interviewGo over final paycheckPTO payoutBenefitsGet completed exit questionnaireCollect credit cardCollect Sam's cardCollect tax exempt letterOther
Exit interview date*
HR comments
IT checklist*

Disable log-inDisable/forward emailRemove from directoryForward phoneRemove CCC accessDisable membershipPayroll supervisorFinanceReturn desktopReturn laptopReturn printerOther
IT comments
Should be Empty: