Department of Human Resources

Termination Checklist for Student Employees

Name

Phone #

Empl ID

Home Address (Circle one: Current or Forwarding)

Off-Payroll Checklist:

___ Office Building Keys
___ SecurID card
___ All equipment

All keys must be turned in prior to the 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 Checklist form, and mailed or delivered to Tanisha Lee at the 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.