3) Employee Job Termination Form

This form is intended to notify the Norris payroll specialist when an employee has left a department.

Do not fill this form out until after the employee has left the department.

Your Name: Your Name: First Last
Person filling out the form
Your Email:
Employee Information
Termination Type:
Student/Employee ID#:
Employee Name: Employee Name: First Last
Department:

Department supervisor will be sent a confirmation email
Position:
Employee Email:
Reason for Leaving:
Last Day: Last Day: / MM / DD YYYY
Documentation if termination is involuntary:

Attach Files
Does this employee still have an existing job at Norris?

Does this employee still have an existing job at Norris? Yes No

3) Employee Job Termination Form

3) Employee Job Termination Form

Employee Information