Employee Exit Checklist

Employee First Name*

Employee Last Name*

Job Title*

Last Date of Employment*

Reason for leaving*

Termination Quit Temporary (Medical Leave)

Confirm what company property has been returned by the employee.

Laptop*

Yes No

Cell Phone*

Yes No

Other Technology*

Yes No

Parking Pass*

Yes No

Building Key / Card*

Yes No

Has email password been changed?*

Yes No

Has server and software access been revoked?*

Yes No

Has the Exit Survey been sent to personal email address?*

Yes No

Have benefits been terminated?*

Yes No

Are there tuition or education expenses pending?*

Yes No

Has the employee received an advance?*

Yes No

Are there expense reports pending?*

Yes No

Has final pay been calculated?*

Yes No

Has company directory been updated?*

Yes No

Does the website need updating?*

Yes No

Completed by*

Current Date*