Employee Exit Checklist

It is the responsibility of the supervisor to ensure that the separation steps outlined below are reviewed and taken when an employee is leaving or transferring to another agency. The supervisor and employee should complete this form. Sign and date the form to confirm your review of the checklist with the employee.


Employee Name:

Personnel ID Number:



Last Day of Work:

☐ Confirm last day of employment.
☐ Determine the appropriate process for removal of the employee’s contents from office or workspace and secure computer networks and files.

Payroll and Final Pay Period – Complete these forms or initiate these processes. I have received the following documents:-

1. 10th original mark sheet

2. 12th original mark sheet

3. Experience letter

4. Salary slip

Declare by employee:-