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Human Resources Home >Termination of University Employment Notification

Termination of University Employment Notification

For Benefited Employees Only

This notification is required if a benefited employee is leaving the employment of the University. Please do not use this form for student employees or casual labor employees. Please fill out this form so the appropriate personnel are informed in advance of a change in employment status. For security, coordination, and informational purposes; it is best if the appropriate personnel across the university are informed as soon as possible of the impending departure of an employee.

Budget Services and Human Resources will still require a PAR to be completed and submitted as before.

Your information

Name:

E-mail:

Departing Employee Information

Employee Name:

ADP Employee ID:

Banner ID (917 Number):

Position:

Date of Departure:

Department:

Additional Information (optional):

Are you transferring to another department or USG institution? Yes No

If so, what department/institution?

Are you retiring? Yes No