CHECKLIST FOR THE RESIGNATION/TERMINATION PROCESS
Please return the following items to the appropriate department prior to leaving
the current department, Utah State University’s employ, or at the death of a
current employee.
1 Resign 1 Retire 1 Transfer 1 Admin. Leave 1 Death 1 Other
Name of Employee: _______________________________ A#___________
Last Day of Work: ____________
Department Name: _______________
ITEM
Date Returned
Department Representative Signature
Tools/Equipment/
Manuals
___________
Home Department ______________
Key(s)
___________
Facilities
____________________
Parking Pass*
___________
Parking
____________________
P-Card
___________
Purchasing ____________________
Credit Cards
___________
Controllers
____________________
Library books*
___________
Library
____________________
Other
___________
Appropriate Department
_________
ID Card*
___________
Human Resources ______________
*Not necessary if remaining in employment at Utah State University.
Banner permissions: Finance 1 Financial Aid 1 HR 1 Student 1 Other 1
HR will contact IT to discontinue assigned services. Please return this completed
form(s) to Human Resources (UMC 9510).
□
There has been a Memorandum of Understanding (MOU) created in
association with this termination. Please send a copy to the Office of
Human Resources (UMC 9510) for the employee’s file.
If USU property is not returned in a timely manner, an unfavorable reference or other consequences could result.
Each terminating employee should download and delete any personal email messages. All other messages must
be left available for the supervisor(s) as part of Utah State University business.
Rev. 10, 8/27/07