Employee Departure Form Employee's PMP Please close out the employee's current PMP prior to the last day in the department and send PMP and other documentation you may have that needs to be placed in the Personnel File, including PMP in progress to HR. Please note that resignation letter must be sent to Human Resources immediately upon submission.Departure Date* Date Format: MM slash DD slash YYYY Departure Time* : HH MM AM PM Name* First Name Last Name Location/DepartmentDoes email need to be forwarded?*YesNoIf yes, to whom?How long does email need to forwarded for? Default is 30 days.Please enter a number from 30 to 180.Please indicate number of days email should be forwarded. Thank you. Does Out of Office Reply need to be setup? If yes, please fill out.Out of Office Reply will be updated on Departure Date.Who needs access to Employee's H: Drive?Please list anyone who needs access. Thank you. Does associate have a Salesforce account?*YesNoIf associate is a CICS user, what is the userid?Does a network jack need to be turned off?*YesNoThird ChoicePlease note this applies only to Curtis Building and AJLA associates.If yes, what is the room number of the network jack?What is the Jack number?Located on the card outside the officeDoes a desk phone need to be disconnected?*YesNoThis applies only to Curtis Building associatesIf yes, what is the phone number?DevicesPlease enter the required information for any devices that need to be returned. If the associate is located in Curtis, please return the devices before departure. If the associate is in another office, please make arrangements for equipment to be returned as soon as possible.Desktop ModelService TagEBIT # (If applicable)Laptop ModelService TagYellow TagiPad ModelService TagYellow TagSurface ModelService TagYellow TagTablet ModelService TagYellow TagMiFi NumberCell Phone NumberCell Phone Lock PasscodeiTunes User IDiTunes PasswordFOR CURTIS AND TOPEKA WORKFORCE CENTER ASSOCIATES:Has Capitol Complex key card been returned to the building services manger?*YesNoFOR FIELD OFFICE ASSOCIATES:Have building pass cards been deactivated or returned to supervisor?*YesNoHas key check form been updated and filed?*YesNoWas the associate a fuel card holder?*YesNoIf yes, was the card returned to Fiscal?*YesNoWas the associate a P Card holder?*YesNoIf yes, was the card returned to Fiscal?*YesNoAre there any open Travel Expense reports for which the associate is waiting for payment?*YesNoAdditional Departure Instructions:Whom should receive the confirmation email?* CAPTCHAPhoneThis field is for validation purposes and should be left unchanged.