Montana State University – Billings
Employee Separation Checklist
This form must be completed for all FACULTY, PROFESSIONAL OR CLASSIFIED employees upon notice of termination of employment:
Employee Name:
____________________________________________ Department: ______________________
Supervisor Name:
___________________________________________ Last Day Worked: ___________________
1. Upon immediate notification an employee is leaving the University, the Supervisor should complete the following items:
Completed N/A
ETF form completed and routed – attach Resignation Letter.
Send email to termination distribution list (payroll@msubillings.edu).
Confirm employee has scheduled an exit interview time with
Human Resources.
Confirm employee has updated final address with Huma Resources.
Remind employee to visit with payroll regarding any final payroll
questions.
Notify the Help Desk with whom you would like to email account
forwarded to for continued follow up and customer service.
2. The Department must ensure that all University property is returned by the employee to the supervisor by the employee’s last
day: Returned N/A
Keys – building/office/file cabinets
Deactivate ID Card Swipe key access
Credit cards – purchasing/telephone
Cell phones
Blackberries
Computers/laptops/accessories
University records/manuals/supplies
Tools/other equipment
Other
_________________________________
Supervisor Signature ______________________________________________ Date __________________
3. The Supervisor or Department Head must forward this completed form and the final timesheet to the Payroll Office to certify
that all above items are complete. This must be done before a final paycheck is released to employee.
THIS SECTION TO BE COMPLETED BY PAYROLL OFFICE:
Completed N/A
Obtain completed checklist prior to processing final check ______ ______
Deduct outstanding balances due:
Accounts Receivable ______ ______
Travel expense/advances ______ ______
Library fines ______ ______
Parking fines ______ ______
Choices/Flex balances due ______ ______
Other voluntary deductions: __________________ ______ ______
Process final check ______
Review and close out Banner data ______
