Leaver Form

LEAVER FORM

Please submit this form by clicking on the button at the bottom of this form.

* Fields marked with an asterix are required

TEAM MEMBER NAME *

COMPANY *

FUNCTIONAL AREA *

EMPLOYMENT STATUS *

LEAVE DATE *

Day Month Year

LAST WORKING DAY *

Day Month Year

Does Team Member have a Company Credit Card? (Yes or No)

RESIGNATION RECEIVED IN WRITING?

YES NO

Attach Resignation Letter

TYPE OF LEAVER

Voluntary - Regrettable Voluntary - Non-regrettable Involuntary - For Cause Involuntary - Reduction-In-Force

REASON FOR LEAVING

Do you regret that this person is leaving?

YES NO

If this team member had direct reports, please list who their new manager should be: *

Would you like the team member's emails forwarded to another account? *

YES NO

If yes, please state team member's name (this functionality will be active for 90 days)

System shut off time (local time): *

Would you like the team's members emails archived to your inbox? *

YES NO

ADDITIONAL INFORMATION i.e. payment, bonus/commission payments

IMPORTANT - It is important to remind the Line Manager of their responsibility to coordinate the return of all company equipment, including security pass etc.

SUBMITTING MANAGER *

First Name Last Name

DATE *

Month Day Year