Metropolitan State University of Denver
Student Employment - Separation Form
For Use by Office of Human Resources Only
Final Check Approval Signature:______________________________________________
Date:
__________________________
Changed in System: _____________
Final Check Issued_____________
Date: _____________
HR Rep Initials: ______________
Remove Access Form: _____________
Inactivate File: Y_____________
N_____________
Active in:
_____________________
REV 2017
900#
MSU Denver Email:
Effective Date of Separation:
Reason for Separation:
(Timesheet processed on normal payroll schedule)
Student has voluntarily left the position
Employee has graduated or is no longer considered a student (withdrawn from the university)
Employee has fallen below the 2.0 minimum GPA
Student has exhausted work study funding or departmental funding limits
Departmental Transfer
Reason for Termination:
(Final timesheet must be included)
Disciplinary Reasons
Other
Comments (Optional):
If you are terminating a student from their position, as their supervisor you must immediately notify
Human Resources. As required by law, the final paycheck needs to be issued within 24 hours of
termination. Attach the last time sheet to this form and submit both items to HR immediately.
Supervisor Name:
Phone #:
Supervisor Email:
Supervisor Signature:
Date:
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