EMPLOYEE SEPARATION

Please fill out form as accurate as possible

Just a reminder, this form is to give proper notice to IT/Payroll Department. HR will still need to fill out the “Employee Separation” form for their respective offices.

Your Information

First Name

Last Name

Email Address

Supervisor/Admin Email

Terminated Employee Information

First Name

Last Name

Position/Title

Office/Location

Exit Date

Remove ALL Access Immediately?

Notes/Additional Info:

Upload "Employee Separation" handwritten form. (If Applicable)