Layoff Checklist Form
Please complete this checklist to ensure all offboarding steps are followed for departing employees.
Employee Full Name
*
First Name
Last Name
Employee ID
*
Department
*
Please Select
Human Resources
Finance
IT
Sales
Marketing
Operations
Other
Position/Job Title
*
Manager/Supervisor Name
*
First Name
Last Name
Last Working Day
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Checklist of Offboarding Tasks
*
Rows
Completed
Company laptop returned
1
Access card/badge returned
2
Mobile phone returned (if applicable)
3
Email and IT access revoked
4
Company credit card returned (if applicable)
5
Exit interview conducted
6
Benefits information provided
7
Final paycheck processed
8
Personal belongings collected
9
Other company property returned
10
Were there any issues encountered during the offboarding process?
*
No issues encountered
Yes, issues encountered (please specify below)
If yes, please describe any issues or outstanding items:
Additional Comments or Notes
HR/Manager Signature
*
Submit Checklist
Submit Checklist
Should be Empty: