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Employment Checkout Form: Ensure This Form Is Completed To Ensure Clearance

This employment checkout form is used as part of exit procedures for all staff members leaving a company and must be completed to ensure the employee is cleared financially, of any company property or data, and that all necessary departments have signed off. The form collects the employee's details, requires signatures from finance, IT, administration, the departing employee to confirm they have returned all company materials, and the store manager and HR to confirm the checkout process is finished.

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Joram Mbugi
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343 views1 page

Employment Checkout Form: Ensure This Form Is Completed To Ensure Clearance

This employment checkout form is used as part of exit procedures for all staff members leaving a company and must be completed to ensure the employee is cleared financially, of any company property or data, and that all necessary departments have signed off. The form collects the employee's details, requires signatures from finance, IT, administration, the departing employee to confirm they have returned all company materials, and the store manager and HR to confirm the checkout process is finished.

Uploaded by

Joram Mbugi
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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Employment Checkout Form

Instructions: This form is to be used as part of the exit procedures for all staff members. HR Department is to
ensure this form is completed to ensure clearance.
PERSONAL DETAILS
Name
ID Number Date of departure
Position
Location
Supervisor
Forwarding address
FINANCE CLEARANCE (Financial Controller or Designate to sign)
I certify that there is no outstanding action in relation to (please check):
salary costs Petty Cash Float Banking
other (please state): Final Dues Payment (after clearance by all)
Signature for release

INFORMATION SYSTEMS CLEARANCE (Head of Information Technology to sign)


I certify that:
Computer login and passwords are cancelled/reset
Personal documents from c:drive have been inserted into __________
Computer / Laptop and charger returned / Phone and charger returned
Staff members email account has been deactivated
Other: (please state):
Signature for release

ADMININSTRATION & PROPERTY CLEARANCE (Store Manager / RDM to sign)


I certify that:
All Store keys returned
Staff uniforms returned
Staff identification card and / or badge returned
Staff discount card returned
Final attendance sheet signed (if applicable)
All instructional and training materials have been returned
Other (please state):
Signature for release

STAFF CERTIFICATION (Departing staff/consultant to sign)


I hereby certify that I do not have copies of unauthorized company data in my possession and that I
have completed all the necessary actions required prior to my departure and that I have returned all
company owned equipment and material previously held in my position (including computer hardware,
software, manuals and stationery).
Signature and date

HANDOVER CONFIRMATION FROM STORE MANAGER (RDM to sign)


All items above have been returned to the in-charge
Manager signed-off
Other (please state):
Signature and date

HANDOVER COMPLETED (Retail HR Manager to sign)


I certify that
The check out form has been completed
A verbal handover has been conducted with their supervisor and or replacement
Exit questionnaire is completed
Signature for release

The original form to be retained in the staff file and a copy forwarded to Finance Department to enable
final dues payment.

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