Instructions: Submit this form for all separating staff, faculty and graduate students paid monthly to Human Resources: JCK 360, , or fax 512.245.1942. Employee Name: Texas State ID # Net ID Job Title: Department: Last Day Worked: Separation Date: Dept contact phone/email: Immediately notify Human Resources () and Payroll () of separation date. Include employee name, Texas State Yes ID#, last date worked and separation date. Immediately notify IT Assistance Center (ITAC) to prepare for phone and IT access removal using online form . Use the emergency separation request option for an involuntary termination. Be sure to revoke Yes access for any departmentally-managed resources or third-party systems not covered by ITAC. Yes Submit Personnel Change Request (PCR) to remove employee from payroll. Yes Provide Employee Separation Statement Form to employee. Notify the following offices to discontinue authorization/access or return property: Yes N/A Access Services to remove card permissions (245.7656) . Advise employee of requirement to return all university property and equipment. Keys must be returned to Access Services. The employee will be issued a receipt to return to their department. Yes N/A Travel for Travel Card (245.2775) Yes N/A Purchasing for P-card and/or BOBCATalog (245.2521) Yes N/A University Library for books currently checked out (245.3681) Yes N/A Financial Reporting & Analysis if separating employee is an account manager. Send the form to . Yes N/A Submit a to Human Resources for remaining FLSA overtime or vacation balance. To receive vacation pay, the employee must: work for the State of Texas more than 6 continuous months (not necessarily at TXST); and not transfer directly (no break in service) to another state agency or state institution of higher education in Texas (does not include public school districts, junior or community colleges). Yes Inform the employee to bring their Texas State ID card back if rehired within 2 years (otherwise there will be a replacement fee). Yes Notify employee to return parking permit and gate access card to Parking Services per parking regulations. Employee may contact Parking Services for a pro-rated refund request form (245.2887). This only applies through the 12th class day in the same semester the permit was purchased. Signature/Print: Date: (Department Head)
Instructions: Submit this form for all separating staff, faculty and graduate students paid monthly to Human Resources: JCK 360, , or fax 512.245.1942. Employee Name: Texas State ID # Net ID Job Title: Department: Last Day Worked: Separation Date: Dept contact phone/email: Yes Immediately notify Human Resources () and Payroll () of separation date. Include employee name, Texas State ID#, last date worked and separation date. Yes Immediately notify IT Assistance Center (ITAC) to prepare for phone and IT access removal using online form . Use the emergency separation request option for an involuntary termination. Be sure to revoke access for any departmentally-managed resources or third-party systems not covered by ITAC. Yes Submit Personnel Change Request (PCR) to remove employee from payroll. Yes Provide Employee Separation Statement Form to employee. Notify the following offices to discontinue authorization/access or return property: Yes N/A Access Services to remove card permissions (245.7656) . Advise employee of requirement to return all university property and equipment. Keys must be returned to Access Services. The employee will be issued a receipt to return to their department. Yes N/A Travel for Travel Card (245.2775) Yes N/A Purchasing for P-card and/or BOBCATalog (245.2521) Yes N/A University Library for books currently checked out (245.3681) Yes N/A Financial Reporting & Analysis if separating employee is an account manager. Send the form to . Yes N/A Submit a to Human Resources for remaining FLSA overtime or vacation balance. To receive vacation pay, the employee must: work for the State of Texas more than 6 continuous months (not necessarily at TXST); and not transfer directly (no break in service) to another state agency or state institution of higher education in Texas (does not include public school districts, junior or community colleges). Yes Inform the employee to bring their Texas State ID card back if rehired within 2 years (otherwise there will be a replacement fee). Yes Notify employee to return parking permit and gate access card to Parking Services per parking regulations. Employee may contact Parking Services for a pro-rated refund request form (245.2887). This only applies through the 12th class day in the same semester the permit was purchased. Signature/Print: Date: (Department Head)