On or before your last day of work, all employees separating from SPSCC must complete the following checklist including verification signatures from the appropriate areas. All employees full or part- time that have utilized any of the following services must complete this form prior to separation from SPSCC. Supervisors see page 2 of this form for guidance. Name Employee ID Last Day Position Department Today’s Date Supervisor Name & Signature Date: Employee Responsibilities Campus Check-Out/Sign-Off Release of Further Department/Contact Access/Asset Listing Responsibility- Date Dept. Sign-Off Business/Finance Cashier- outstanding payments, Office loans Bldg. 25 Travel Procurement (P) Card Accounts Receivable ELearning Canvas Account Access Bldg. 22-181 Outlook Network Access Information HP9000/VPN Access Technology Services Equipment: iPad Bldg. 25-Help Desk Laptop Cell Software/licenses Scan & Scan+ Access Remove access to systems that contain HIPAA, FERPA or other protected data Remove Voice Mailbox ext____ Outstanding Parking/fees/permits Security Office Keys- Bldg/Room Bldg. 25-117 E2 Campus ReachPlus Alerts Group Paging School Report Facilities/Maintaince Uniforms Bldg. 14 Equipment Foundation Payroll Deduction Bldg 25-211 Add to Former Employee List Benefits/ Insurance Coverage Human Resources & Current Address for W-2 Notice Payroll Final Payroll- physical check Bldg 25-220 Star Pass/Staff ID Email address for future contact Rev. 10/2017 Completed form must be submitted to the Human Resources Office prior to departure from campus.
On or before your last day of work, all employees separating from SPSCC must complete the following checklist including verification signatures from the appropriate areas. All employees full or part- time that have utilized any of the following services must complete this form prior to separation from SPSCC. Supervisors see page 2 of this form for guidance. Name Employee ID Last Day Position Department Today’s Date Supervisor Name & Signature Date: Employee Responsibilities Campus Check-Out/Sign-Off Department/Contact Access/Asset Listing Release of Further Responsibility- Dept. Sign-Off Date Business/Finance Office Bldg. 25 Cashier- outstanding payments, loans Travel Procurement (P) Card Accounts Receivable ELearning Bldg. 22-181 Canvas Account Access Information Technology Services Bldg. 25-Help Desk Outlook Network Access HP9000/VPN Access Equipment: iPad Laptop Cell Software/licenses Scan & Scan+ Access Remove access to systems that contain HIPAA, FERPA or other protected data Remove Voice Mailbox ext____ Security Office Bldg. 25-117 Outstanding Parking/fees/permits Keys- Bldg/Room E2 Campus ReachPlus Alerts Group Paging School Report Facilities/Maintaince Bldg. 14 Uniforms Equipment Foundation Bldg 25-211 Payroll Deduction Add to Former Employee List Human Resources & Payroll Bldg 25-220 Benefits/ Insurance Coverage Current Address for W-2 Notice Final Payroll- physical check Star Pass/Staff ID Email address for future contact Rev. 10/2017 Completed form must be submitted to the Human Resources Office prior to departure from campus.
Checklist%20for%20Separating%20Employees.2017.docx