EMPLOYEE SEPARATION CHECKLIST

Return completed checklist to Human Resources

X	ITEM RETURNS
Returned Parking Tag
Returned Keys/Keycard
Returned Outstanding Travel Advances
Returned Phone, Tablet, Laptop, and Other Equipment
Returned Company Credit Card
X	SECURITY ACTIVITIES
Provided Voicemail PIN Code to Manager
Outgoing Phone Message Changed
Documents Have Been Saved to Secured Location as Directed by Manager
X	WORK WRAP-UP
Provided Summary of Ongoing Project and Its Status to Manager
Download to Colleagues
X	EXIT ACTIVITIES
Removed Personal Items from Work Station or Office
Permanent Address Verified for Human Resources
Final Benefit Status Review
Exit Survey Completed
Exit Interview Completed

DEPARTING EMPLOYEE NAME	EMPLOYEE ID
DEPARTING EMPLOYEE SIGNATURE	DATE

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