EMPLOYEE EXIT CHECKLIST
Employee Name:
Department:
Job Title:
Last Day Worked:
Reason for Exit (circle one): Resignation Retirement Layoff Discharge Job Abandonment
Other:
The following checklist is provided to assist employee and supervisor with the exit process.
□ = Task Completed
NA = Not Applicable
Human Resources
□ Final paycheck (include any accrued but unused vacation hours)
□ Letter of Resignation (if applicable)
□ Pull files (personnel, benefits, medical, etc.)
□ Get updated address for W2
□ Other:
Access Cancellation
□ Retrieval of passwords
□ Disconnect computer access
□ Email address removed from staff list
□ Desk area cleaned out
□ Other:
Company Property to be Returned
□ I.D. Badge
□ Company Laptop
□ Company Credit Cards
□ Building Keys
□ Uniforms
□ Other:
Review With Employee
Agreements:
□ Non-Disclosure Agreement
□ Non-compete Agreement
Benefits
□ COBRA Enrollment Application (for continued medical benefits coverage)
□ EDD for Your Benefit (Form DE 2320)
□ Notice to Employee as to Change in Relationship (not employees resigning)
Employee’s Signature
Date Completed
Supervisor’s Signature
Date Completed
NOTE: Place a signed copy in employee’s file