TigerText Finance Program GuideHR Program GuideLearning CurveworkForum Annual Enrollment Transfer Period
Administration BuildingAnnual Enrollment Transfer Period


Employee Separation and Clearance Immediate Notification Form

FOR USE WITH VOLUNTARY CLEARANCES ONLY

The following online form should be completed and submitted immediately when it is first disclosed that an employee is to be leaving the University. The submission of this form will result in the notification via e-mail of information to affected departments at the University. The employee, the supervisor/manager, and the submitter of the form will also receive copies of this notification.

Employee Information
First Name
 MI
 Last Name
Department Last 4 digits of Employee's SSN
Position Number
 
Last Day of Work Type of Employment
(MM-DD-YYYY)
E-mail Address Confirm E-Mail Address

Supervisor/Manager Information
First Name
 Last Name
E-mail Address Phone
Confirm E-mail Address
Submitter Information
First Name
 Last Name
E-mail Address Phone
Confirm E-mail Address
Comments (optional)