Employee Termination Security Checklist
Please confirm completion of all security-related offboarding actions for the departing employee.
Employee Full Name
*
First Name
Last Name
Employee ID or Staff Number
*
Department
*
Please Select
Human Resources
Finance
IT
Operations
Sales
Marketing
Other
Manager/Supervisor Name
*
Termination Date and Time
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Status of Company System Access Removal
*
Completed
Pending
Not Applicable
Status of Device Return (Laptop, Phone, etc.)
*
Completed
Pending
Not Applicable
Status of Badge/Key Return
*
Completed
Pending
Not Applicable
Status of Account Deactivation (Email, Applications, etc.)
*
Completed
Pending
Not Applicable
Status of Data Transfer/Backup Completion
*
Completed
Pending
Not Applicable
Final Security Checklist Confirmation (Notes or Additional Comments)
Submit Checklist
Should be Empty: