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SULAIR Human Resources

Resignation/Transfer Form

"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 Press. My last day of work at Stanford University or SULAIR/SU 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:

Final check should be picked up by the employee at Payroll at 632 Serra Street on the last workday after 3:00 PM. Please bring a photo ID card. Arrangements may be made to pick up your final check at the exit interview.

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:                           

B. SUPERVISOR to complete with assistance of departmentês Kronos Administrator:

*Notify SULAIR Human Resources as soon as you learn of resignation or transfer.

Return this form immediately to SULAIR Human Resources, Green Library, rm 241D, Mail Code 6062. If you have any questions SULAIR Human Resources can be reached at 3-8251.

Employee Terminating from Stanford University

If you or your Kronos Time and Leave Administrator do not know the final leave balances for the departing employee then leave them blank.

For an employee terminating from Stanford University:

Non-payable balance of _____ sick leave hours. Payable in the final check are ______ vacation hours and _____ PTO hours. An untaken floating holiday is also payable. Was employee's last floating holiday taken? __ Yes __ No

Note: per the admin guide, terminal vacation available only to official retirees of the University and layoffs.

Employee Transferring to Another Campus Department

The employeeês, vacation, PTO and sick time will be transferred to the new department. The balances as of the last day at SULAIR/SU Press are:

Sick                 

Vacation                                   

PTO                 

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.

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: malinip@stanford.edu

Last modified: September 3, 2008