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SULAIR
Human Resources
Resignation/Transfer Form
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"A resignation is a voluntary termination of
employment by the employee. At least two weeks prior notice of resignation is
expected from nonexempt employees, and at least four weeks prior notice is
expected from exempt employees." -
Administrative Guide Memo 22.8 (1a) & (1b)
A. EMPLOYEE to complete:
Employee's Name: _______________________________________
Employee ID: ___________________________
Department: _______________________________________________
I hereby give notice of my intention to resign from my employment at Stanford University or from Stanford University Libraries/SU/HighWire Press. My last day of work at Stanford University or SULAIR/SU/HighWire Press will be (date and time): ________________________
**Note: Leave cannot be used on last day unless you are a retiree using terminal vacation
Reason for Resignation or transfer: _______________________________________________________
Department at Stanford University to which I am transferring
(if applicable): ____________________________
Contact name and number at above department: ________________________________________________
| How would you like to receive your final paycheck? |
|
*Final check should be picked up by the employee on the last workday after 3:00 PM at the Campus Service Counter located at Tresidder Memorial Union, 2nd Floor, on the south end of the building, facing the Tresidder parking lot. Please bring a photo ID card. |
COBRA questions can be answered by calling the Benefits
Office (650.736.2985).
In order for us to make sure you receive your COBRA
information and W-2, please update/confirm your address on StanfordYou and indicate your address below.
Street Address
City
State/Country Zip
Code
Employee's Signature:
Date:
Supervisor's Signature:
Date:
Department's Responsibility
By the last day of employment, supervisors need to do the
applicable items below. Please check off items as they are completed and return
completed form to LHRD Green Library East, Rm 241D.
Termination Checklist
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Completed
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Return University ID card
(not applicable for official retirees) to the Human Resources Office (if ID
card is combined with Wells Fargo, employee must contact Wells Fargo ASAP).
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Contact SUL Tech Support (sultechsupport@lists.stanford.edu)
about retrieving any computer equipment, laptops, etc.
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Remove access to
departmental computers and systems, including Local Area Networks.
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Contact SUL Tech Support (sultechsupport@lists.stanford.edu)
to cancel email account.
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Contact SUL Tech Support
(sultechsupport@lists.stanford.edu) to cancel other accounts (Sundial, UNIX, NT logon,
etc.).
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Contact SUL Tech Support (sultechsupport@lists.stanford.edu)
to disconnect any University-paid utilities maintained at employeeês home
(e.g., DSL line).
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Retrieve or disable any
electronic access cards.
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Cancel telephone
authorization code.
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Cancel University signature
authority.
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Contact
Facilities (sulair-facilities@lists.stanford.edu) to cancel or transfer phone
line(s).
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Change password on any
shared computer accounts.
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Contact
Facilities (sulair-facilities@lists.stanford.edu) about collecting building keys, keys to University-owned vehicles, cell
phone, pager, etc.
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Retrieve all University credit
cards and Purchasing Cards (Pcards). Contact Liane Pfeiffer at 725-9102 to cancel AMEX Corporate Cards. Contact Purchasing Card Administration (pcardhelp@stanford.edu) and JMorganChase at (800) 316-6056 ext 7340 to cancel Pcards.
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Verify the return of all
University property and reference materials (e.g., department files, manuals,
computer files).
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Verify the return of all
library materials borrowed from the University or Coordinate Libraries. Check
with Robert Mantovani (723-1492) at Green Library Privileges.
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Contact Human Resources
(723-8251) if this termination occurs less than a year after the employee was
hired, and the employee received a relocation allowance.
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Employee should contact
SULAIR Human Resources (723-8251) to schedule an exit interview.
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| Employee should print any past pay statements from Axess. After the employee’s last day he/she will not be able to log-on to Axess. |
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Employee should update home
address and phone in Stanford.You for W-2 and COBRA information.
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Refer employee to
Transportation Services at 340 Bonair Siding for possible prorated refund on
parking permit.
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Supervisor's Signature: Date:
Stanford University Libraries and Academic Information
Resources
Human Resources
Green Library East, Rm 241D
Stanford, CA 94305-6004
Phone: 723-8251; FAX 725-0743
Email: ruthj@stanford.edu
Last modified:
April 3, 2012 |
