SEPARATION NOTICE
University Auxiliary and Research Services Corporation (UARSC)
Directions: Please attach employee’s final timesheet to this notice and turn both documents into the UARSC
Human Resources Department as soon as you are aware of the separation.
Employee Name:
Project #
Date:
Project Name
The employee’s status has changed for the reason checked below:
Voluntary Separation (last day worked)
Resigned (no reason)
Moved
New Job
Retired
Involuntary Separation (last day worked)
Layoff (lack of work)
Layoff (lack of funding)
/
/
/
/
Misconduct/Violation of Company Policy
Appointment Ended
/
End of Grant
/
/
/
Comments:
_______________________________________
Supervisor Signature
___/___/___
_________________________________________
Project Director Signature
___/___/___
_________________________________________
Human Resources
___/___/___
(Date)
(Date)
(Date)
Employee Acknowledgment
I received a copy of this notice on ___/___/___
(Date)
Rev 5-20-09
______________________________________________
(Employee Signature)