Resignation Form

HR_FOR_17.3

Record an employee resignation, including the reason, last date and company items to be returned.

Don't fill this out:

Part A — Employee

Employee Name*

Employee Number*Four digits, given to you when onboarded (students end in SV) — find it on your payslip.

Department*

Site*

Part B — Reason

Reason*

Notes

Last date*

Part C — Company Items

For each item, record whether it was issued, the return date, who received it and any notes.

Item

Issued

Quantity

Return Date

Received By

Notes

ID Badge

Uniforms

Site keys / cards

Vehicle and Keys

Site Device / charger

Laptop / charger

Equipment

Acknowledgement - Employee

Enter your name, then sign in the box below.

Employee name*

Date*

Employees who resign are required to return all company issued uniforms and property to HR/Manager before the next scheduled payroll run.

Employee signature* (sign below)

Send to

Select your site and manager. Sent to that manager and copied to HR.