Termination Checklist Form: Google Form Template

Last update on May 27 2022 13:31:57 (UTC/GMT +8 hours)

Termination Checklist Form

Termination Checklist Form can be used to gather all the information necessary for a hassle free termination of an employee.

You may see this is how the form looks :

First section expects you to Employee Name.

Next section expects you to your Employee ID.

Next section expects you to write your Supervisor Name.

Next you are expected to choose your department name. Like Marketing, Production, Seles, Customer Supports or others

Next section eight expects you to Proposal Title.

Next section expects write the Exit or Termination date. Fill MM/DD/YYYY.

In the seventh section expects you write the Name of HR processing exit / termination.

Next section expects you to provided your Exit Interview.

Next section you choose your answer Exit / Termination Checklist any one Yes or No.

Next section expects you choose answer for resignation letter received. Yes or No.

Next section expects you to choose Termination Package Provided. Yes or No.

Next section you answer for Forwarding address received. Yes or No.

Then you Tell in short answer for compensation / financials.

Next section you answer for your Final paycheck processed. Yes or No.

Next section you answer for your Vacation paycheck processed. Yes or No.

Next section you answer for your Serverance package processed. Yes or No.

You choose answer 401K payments stopped. Yes or No.

Then you tell for Unvested RSU/Stock option cancelled. Yes or No.

Next section you choose answer for Any pending expense reports processed. Yes or No.

Next part you choose answer for Benefits Cancellation.

Your Medical insurance cancelled. Yes or No.

Your Dental insurance cancelled. Yes or No.

Your Vision insurance cancelled. Yes or No.

Your Life insurance cancelled. Yes or No.

Your Disability insurance cancelled. Yes or No.

Your Outher benefits cancelled. Yes or No.

Your COBRA forms provided. Yes or No.

Your Access Cancellation. Yes or No.

Your Computer login disabled. Yes or No.

Your Email access disabled. Yes or No.

Your Name removed from employee list. Yes or No.

All software system access disabled. Yes or No.

Next you answer about Property handover.

Laptop/Desktop received. Yes or No.

Mobile phone received. Yes or No.

Corporate credit card received. Yes or No.

Security key received. Yes or No.

Other hardware accessories received. Yes or No.

After selecting your all answer then click submit button.

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