Post-Exit Record Update Form
Use this form to update and document records following an individual's exit from the organization or facility.
Full Name of Individual
*
First Name
Last Name
Date of Exit
*
-
Month
-
Day
Year
Date
Department or Area Exited From
*
Please Select
Human Resources
IT
Finance
Operations
Sales
Other
Reason for Exit
*
Resignation
Termination
Retirement
End of Contract
Other
Items Returned Upon Exit (Select all that apply)
ID Badge
Laptop/Computer
Keys/Access Cards
Mobile Phone
Other
Follow-up Actions Required
Deactivate System Access
Notify Payroll
Archive Records
No Further Action
Other
Additional Notes
Submit Record Update
Should be Empty: