Termination of University Employment Notification

Termination and Transfer Notification Form

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.

Your Information

Name

Departing Employee Information

Employee Name

Employee Email

Employee Direct Phone Number (not departmental number)

OneUSG Employee ID

Banner ID

Position

Last Day Worked

Effective Date NOTE: Should be the day after the last day worked.

Department

Additional Information (optional)

Is the employee being transferred to another department or USG institution?

Yes

If so, what department or institution are they transferring to?

Is the employee retiring?

Yes

Does employee meet USG Board of Regents criteria for retirement?

Yes

Does employee wish to receive information from the UWG Association of Retired Faculty & Staff? (re: activities, healthcare benefits, etc.)

Yes

Best Contact Number or Email