Termination Key Return Form for Academic Employees

     
  Name ____________________________________________
  Address

(Circle one: Current or Forwarding)

    ____________________________________________
    ____________________________________________
  Phone ____________________________________________
  Empl ID ____________________________________________
Key turned in on (list date): ______________________________

All keys must be turned in prior to the academic employee's last day on the payroll. The keys must be taped to the original Key Request card.

* The Key Request card should then be attached to this Termination Key Return Form, and mailed or delivered to Department of Human Resources, 255 Darland Administration Building.

*If you do not have the original Key Request card, please tape the key to a 3x5 card, noting the employee's name and department.

Supervisors must also email: keyshop@d.umn.edu prior to the last date of employment to request that electronic access be discontinued. Please include emloyee's name, employee ID number, department and termination date.