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It structures responsibilities across three parts: supervisor/employee return items, HR-director review prior to the HR meeting, and HR director completion, including insurance, retirement, benefits, access removal, and final payroll actions.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/template/","Template",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/template/forms/","Forms",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/template/full-time-employees-separation-check-out-list-rev-213/279126/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/full-time-employees-separation-check-out-list-rev-213/279126.png","ImageObject",442,249,{"name":42,"@type":43},"Fahsai","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-10-23","2026-09-15",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",12,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"Who initiates and submits the full-time separation check-out list?","Question",{"text":63,"@type":64},"The employee’s supervisor initiates the form and must submit it to the Human Resources Director prior to the release of the final paycheck.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"What must be completed by the immediate supervisor and employee?",{"text":68,"@type":64},"Part I collects employee details and records items to be returned, along with signatures from the immediate supervisor and employee where applicable.",{"name":70,"@type":61,"acceptedAnswer":71},"What responsibilities does the Human Resources Director complete in Part III?",{"text":72,"@type":64},"Part III records HR review items such as retirement accounts, benefits-related notices and pamphlets, and includes the HR director signature and the employee’s signature date.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},279126,1790127344,{"code":4,"msg":82,"data":83},"success",[84,89,93,98,103,108,112,117,122],{"id":85,"doc_module":22,"doc_module_name":25,"category_name":86,"show_sort_weight":87,"slug":88},11,"Presentations",90,"presentations",{"id":55,"doc_module":22,"doc_module_name":25,"category_name":90,"show_sort_weight":91,"slug":92},"Resumes",80,"resumes",{"id":94,"doc_module":22,"doc_module_name":25,"category_name":95,"show_sort_weight":96,"slug":97},14,"Invoices",70,"invoices",{"id":99,"doc_module":22,"doc_module_name":25,"category_name":100,"show_sort_weight":101,"slug":102},15,"Posters",60,"posters",{"id":104,"doc_module":22,"doc_module_name":25,"category_name":105,"show_sort_weight":106,"slug":107},16,"Social Media",50,"social-media",{"id":109,"doc_module":22,"doc_module_name":25,"category_name":29,"show_sort_weight":110,"slug":111},17,40,"forms",{"id":113,"doc_module":22,"doc_module_name":25,"category_name":114,"show_sort_weight":115,"slug":116},18,"Letters",30,"letters",{"id":118,"doc_module":22,"doc_module_name":25,"category_name":119,"show_sort_weight":120,"slug":121},21,"Paper Templates",5,"papers-templates",{"id":123,"doc_module":22,"doc_module_name":25,"category_name":124,"show_sort_weight":4,"slug":125},158,"General","general-158",{"code":4,"msg":82,"data":127},{"doc_id":79,"user_id":128,"nickname":42,"user_avatar":129,"doc_module":22,"category_id":109,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":130,"file_id":131,"file_url":132,"file_type":133,"file_size":134,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":22,"language":135,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":136,"faqs":137,"seo_title":138,"seo_description":12,"update_tm":139,"read_time":4},549768702563,"https://ap-avatar.wpscdn.com/avatar/8000c4aa63b76e948b?x-image-process=image/resize,m_fixed,w_180,h_180&k=1786536092046926083","FULL-TIME EMPLOYEE'S SEPARATION CHECK-OUT LIST  \nThis form is to be initiated by the employee's supervisor and must be submitted to the Human Resources Director prior to the release of the final paycheck. PLEASE NOTE: All full-time employees must be signed out by the Human Resources Director when separating. This completed form will be kept in the employee's personnel file at the Business Office.  \n\n| PART I-TO BE COMPLETED BY IMMEDIATE SUPERVISOR & EMPLOYEE\u003Cbr>Name:  Separation Date:   Red ID\\#:   Position Title:  \u003Cbr>Department:  \u003Cbr>Classification (Check one): 􀀃 Exempt 􀀃 Non-Exempt 􀀃 Temporary\u003Cbr>Forwarding Address For W-2:   |  |  |  |\n| --- | --- | --- | --- |\n| ITEMS TO BE RETURNED\u003Cbr>􀀃 Badge\u003Cbr>􀀃 Internal Keys\u003Cbr>􀀃 Long Distance Authorization Card\u003Cbr>􀀃 Telephone/Voicemail Access Code | 􀀃 I. D. Card\u003Cbr>􀀃 Cell Phone\u003Cbr>􀀃 P Card/Credit Cards\u003Cbr>􀀃 Collect Business Cards |  | SIGNATURE\u003Cbr>Immediate Supervisor |\n| PART II-TO BE RETURNED PRIOR TO MEETING WITH HUMAN RESOURCES DIRECTOR\u003Cbr>ITEMS SIGNATURE\u003Cbr>􀀃 University Keys Returned to Public Safety Office   Public Safety Department Date\u003Cbr>􀀃 University Parking Permit Returned to Cashier's Office   University Cashier's Office Date |  |  |  |\n| PART III-TO BE COMPLETED BY THE HUMAN RESOURCES DIRECTOR WITH EMPLOYEE |  |  |  |\n| ITEMS\u003Cbr>􀀃 Cobra Forms Reviewed\u003Cbr>􀀃 P. E. R.S Retirement Account\u003Cbr>􀀃 TIAA-CREF Retirement Account\u003Cbr>􀀃 Notice to Employee as to Change in Relationship\u003Cbr>􀀃 “For Your Benefit” Pamphlet (DE 2320) |  | SIGNATURE\u003Cbr>Human Resources Director Date\u003Cbr>Employee's Signature Date |  |\n\n􀀃 Remove from A.S. Network\\Public Groups  \n􀀃 Travel Advance Cleared  \n􀀃 Long Distance Authorization Card Canceled  \n􀀃 Payroll Advances Cleared  \n􀀃 Accounts Receivable Cleared  \n􀀃 Miscellaneous Deductions  \n􀀃 Health Insurance Adjusted  \n􀀃 Dental Insurance Adjusted  \n(OFFICE USE ONLY)  \n􀀃 Life Insurance Adjusted  \n􀀃 LTD Insurance Adjusted  \n􀀃 Flex Benefit Adjusted  \n􀀃 Vision Insurance Adjusted  \n􀀃 Delete From T. N.S. Telephone Directory  \n􀀃 Delete From Drivers List (Pull Program)  \n􀀃 Delete Copy Code  \n􀀃 Parking/Payroll Deduction  \n􀀃 Final Paycheck Issued  \n􀀃 Personnel Transaction Form Completed  \n􀀃 Remove from Kronos  \n􀀃 Remove from MIP  \n􀀃 Cancel P Card  \n􀀃 Cancel SIMS Access  \n􀀃 Cancel RED ID Kiosk Access  \n􀀃 Remove as “Authorized” PersonnelVarious  \nRev. 2/13","cbCaictiH0CzpEel","https://ap.wps.com/l/cbCaictiH0CzpEel","pdf",94950,"English","# PART I - TO BE COMPLETED BY IMMEDIATE SUPERVISOR & EMPLOYEE\n## Items to be Returned\n# PART II - TO BE RETURNED PRIOR TO MEETING WITH HUMAN RESOURCES DIRECTOR\n## Items and Signatures\n# PART III - TO BE COMPLETED BY THE HUMAN RESOURCES DIRECTOR WITH EMPLOYEE\n## Items and Signatures","[{\"question\":\"Who initiates and submits the full-time separation check-out list?\",\"answer\":\"The employee’s supervisor initiates the form and must submit it to the Human Resources Director prior to the release of the final paycheck.\"},{\"question\":\"What must be completed by the immediate supervisor and employee?\",\"answer\":\"Part I collects employee details and records items to be returned, along with signatures from the immediate supervisor and employee where applicable.\"},{\"question\":\"What responsibilities does the Human Resources Director complete in Part III?\",\"answer\":\"Part III records HR review items such as retirement accounts, benefits-related notices and pamphlets, and includes the HR director signature and the employee’s signature date.\"}]","FULL-TIME EMPLOYEE'S SEPARATION CHECK-OUT LIST - Rev. 2/13 | PDF",1789515711]