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Termination Request Form

*For Internal Use Only* - This form should be completed two weeks prior to an employee terminating or as soon as the details are known, whichever is earlier.  Please complete as many fields on this form as possible for the most efficient processing.


Employee Information


Access and Asset Information


I have completed this form to the best of my knowledge and with the most accurate information available to me.
(Both fields below are required)

Your Full E-mail Address: (required)


The supervisor of the employee will be asked to upload a completed HR102 checklist in Workday. The supervisor should correspond with the necessary offices (IT, HR, Finance/Business, Public Safety) to ensure that all items are covered. Each line should have an entry (Yes, No or N/A) marked.