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Termination of University Employment Notification

This notification is required when a faculty, staff, or casual labor employee is leaving the employment of the University, or is transferring departments on campus. 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?
If so, what department/institution?
Are you retiring?