Exit Checklist

Employee Name: ___________________________________

Employee ID: ______________________________________

Position: ___________________________________________

Last Working Day: ___________________________________

Company Property Returned (Check All That Apply):

- ID Badge: __________________________

- Keys: ______________________________

- Uniform: ___________________________

- Electronic Devices (Laptop, Phone): ___________

- Other: _____________________________

System Access Revoked (Date): ______________________

Final Pay Processed (Date): _________________________

Employee Signature: __________________________________

Date: ________________________________________________

HR Signature: ________________________________________

Date: _______________________________________________