"Employee Exit Checklist Form" - Alabama

Employee Exit Checklist Form is a legal document that was released by the Alabama Department of Youth Services - a government authority operating within Alabama.

Form Details:

  • The latest edition currently provided by the Alabama Department of Youth Services;
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  • Fill out the form in our online filing application.

Download a printable version of the form by clicking the link below or browse more documents and templates provided by the Alabama Department of Youth Services.

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Download "Employee Exit Checklist Form" - Alabama

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Department of Youth Services
Employee Exit Checklist
Name: _________________________________________________________________________
Phone #: _______________________________ Division/ Section of Unit:___________________
Supervisor: _____________________________
Final Date on Premises: ___________________
Forwarding Address: ______________________________________________________________
Departing Campus Staff are to obtain the signature of the Campus Business Manager who will verify with the Central Office Staff
that the state property has been turned in.
Departing Central Office Staff will obtain signature from central office person that is responsible for each item.
Departing School District Staff will obtain the signature of the Principal who will verify with the Central Office Staff that the state
property has been turned in.
Once completed, this form must be submitted to the DYS Personnel Office. If completed form is not turned in, the employee’s final
paycheck will be held until the form is turned in.
Returned: (Purchasing/ Accounting/ Property)
Letter of Resignation
: (verified by)
State Equipment Accounted for:
(verified by)
I.D. Card:
(verified by)
Door Keys:
(verified by)
Door Swipe Card:
(verified by)
Gas Card PIN:
(verified by)
Uniforms/ Safety Equipment:
(verified by)
Badge:
(verified by)
Radio:
(verified by)
Cell Phone:
(verified by)
Litigation Legal Hold: YES
NO
________________________________
**NO Accounts will be deleted if there is a Litigation Hold**
Accounts Deactivation: (IT Department/ Purchasing/ Personnel/ Accounting)
Computer/Network:
(verified by)
SIMS/GIMS:
(verified by)
DYS Email:
(verified by)
Access to Accounting System:
(verified by)
Access to Payroll System:
(verified by)
Changed to inactive in Payroll System:
(verified by)
Employee Signature
Supervisor Signature
Department of Youth Services
Employee Exit Checklist
Name: _________________________________________________________________________
Phone #: _______________________________ Division/ Section of Unit:___________________
Supervisor: _____________________________
Final Date on Premises: ___________________
Forwarding Address: ______________________________________________________________
Departing Campus Staff are to obtain the signature of the Campus Business Manager who will verify with the Central Office Staff
that the state property has been turned in.
Departing Central Office Staff will obtain signature from central office person that is responsible for each item.
Departing School District Staff will obtain the signature of the Principal who will verify with the Central Office Staff that the state
property has been turned in.
Once completed, this form must be submitted to the DYS Personnel Office. If completed form is not turned in, the employee’s final
paycheck will be held until the form is turned in.
Returned: (Purchasing/ Accounting/ Property)
Letter of Resignation
: (verified by)
State Equipment Accounted for:
(verified by)
I.D. Card:
(verified by)
Door Keys:
(verified by)
Door Swipe Card:
(verified by)
Gas Card PIN:
(verified by)
Uniforms/ Safety Equipment:
(verified by)
Badge:
(verified by)
Radio:
(verified by)
Cell Phone:
(verified by)
Litigation Legal Hold: YES
NO
________________________________
**NO Accounts will be deleted if there is a Litigation Hold**
Accounts Deactivation: (IT Department/ Purchasing/ Personnel/ Accounting)
Computer/Network:
(verified by)
SIMS/GIMS:
(verified by)
DYS Email:
(verified by)
Access to Accounting System:
(verified by)
Access to Payroll System:
(verified by)
Changed to inactive in Payroll System:
(verified by)
Employee Signature
Supervisor Signature