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EMPLOYEE SEPARATION CHECKLIST Name: Supervisor: Department: Last day with department: This checklist is to be completed by the employee and returned to his/her supervisor prior to the last day with

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What is this checklist is to?

This checklist is to ensure that all necessary steps and tasks are completed.

Who is required to file this checklist is to?

All employees in the department are required to file this checklist.

How to fill out this checklist is to?

This checklist is to be filled out electronically and submitted online.

What is the purpose of this checklist is to?

The purpose of this checklist is to track progress and ensure compliance.

What information must be reported on this checklist is to?

All completed tasks, dates, and any notes or comments must be reported on this checklist.

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