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    For Benefited Employees Only

    Termination of University Employment Notification


    This notification is required if a benefited employee is leaving the employment of the University. Please do not use this form for student employees, casual labor employees or if a regular employee making an internal transfer. Please fill out this form so the appropriate personnel are informed in advance of a change in employment status. For security, coordination, and informational purposes; it is best if the appropriate personnel across the university are informed as soon as possible of the impending departure of an employee.

    Budget Services and Human Resources will still require a PAR to be filled out and submitted as before.

    Your information:

    Name
    E-mail
    Departing Employee Information
    Employee Name
    Employee ID
    Position
    Date of Departure
    Department
    Additional Information (optional)


    Department of Human Resources | Office Hours: 8:00am-5:00pm | Phone: 678-839-6403 | Fax: 678-839-6425 | . |

    Last Modified: 3/8/2007