MANAGER'S
PRE-DISMISSAL CHECKLIST
Employee
Name: _______________________________
Date
of Termination: _____________________________
Prior
to separation from the company, collect the following items from the above
employee:
[ ]
All keys returned.
[ ]
Company vehicle returned.
[ ]
Company credit cards returned.
[ ]
Company phone credit cards returned.
[ ]
Company equipment returned (e.g., portable phones, beepers, PCs).
[ ]
COBRA election forms signed and returned.
[ ]
401K election forms signed and returned.
[ ]
Profit sharing election forms signed and returned.
[ ]
Company documents and files inventoried.
[ ]
Desk and working premises inventoried.
[ ]
Personnel and Payroll Departments notified of departure.
[ ]
Final expense report received, reviewed and approved, expense check
prepared.
[ ]
Final payroll check prepared (includes all accrued vacation pay, wages,
sick pay, etc.)
[ ]
Exit interview prepared.
[ ]
Exit interview given.
[ ]
Final checks (payroll and expense) given to terminating employee.
All
of the above duties have been completed in a satisfactory and timely
manner. Company has no further
liability associated with terminating employee.
Manager's
Signature: ____________________________ Date: _______________
