Termination of Employment Request Form
School / Department:
Name of Staff Member:
I wish to confirm that the above staff
member's contract of employment is to
terminate on:
(end date)
Reason for Termination:
Leave Date for Payroll:
Holiday entitlement (please indicate balance
of days not taken to termination of
employment date)1:
Confirmation of home address for P45:
Please note that fixed term staff with 2 or more years' service may be entitled to a
redundancy payment if their contract is terminated. If you require further clarification,
please contact the HR Service Centre at Ext 3333 or email at hr@tcd.ie
Please ensure that the minimum contractual notice period and/or the Minimum Notice and
Terms of Employment Acts, 1973-2001 are complied with.
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Note: annual leave is normally 1st October to 30th September. Where a staff member has not worked a full
leave year by their termination date, they are only entitled to pro-rata holidays, i.e. total annual leave
entitlement divided by 12 months, times number of months worked.
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Termination of Employment Request Form
Signed:
Print name:
Head of Discipline
Signed:
Print name:
Head of School
Date:
Please supply Name, Extension No. and email of person who can be contacted by Human
Resources if there are any queries regarding this form:
Name
Extn.
email
All completed forms to be sent to:
Employee Services, Human Resources, House 4.
*** Incomplete or unsigned forms will not be accepted and will be returned to the School
for completion ***
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