Department of Human Resources & Equal Opportunity

Commonly Used Forms

• UMD HR Forms
• University Wide Forms Library
• Academic Search
• COBRA Forms
• Job Evaluation Questionnaire
• Orientation Request Form
• Performance Appraisal
• Personnel Action Document
• Workers' Compensation

Contact Us

Comments: Judith S. Karon
Webmaster: Lita C. Wallace
External Access: 27521

Termination Key Return Form for Academic Employees

Name
Department
Current Address
Forwarding Address
Phone
Empl ID
Key turned in on (list date)*
*Supervisors must also email: keyshop@d.umn.edu prior to the last date of employment to request that electronic access be discontinued. Include emloyee's name, employee ID number, department and termination date.
Completed by:	Signature:	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 and Equal Opportunity, 255 Darland Administration Building.

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