Employee Checkout Record

Date:

Employee:

Department:

Termination Date:

Complete or return upon termination each of the items marked with an ("x.").

To return:

ID Badge

[ ] Credit Cards

[ ] Petty Cash Advances

[ ] Expense Accounts

[ ] Keys to Premises

[ ] Company Tools

[ ] Desk/File Keys

[ ] Security Statement

[ ] Air Travel Cards

[ ] Catalog/Sales Items

[ ] Sample Products

[ ] Vehicles

[ ] Company Documents

[ ] Customer Lists

[ ] Other:

To complete:

[ ] Exit Interview

[ ] Expense Reports

[ ] Terminations Form

[ ] Confidentiality Report

[ ] Other:

______________________ Date:

Supervisor

Mark an 'x' in the second column as each item is returned or completed.

Contract law requirements

Bankruptcy  Bill of Sale  Construction  Debt  Wills Rent  POA  Trademarks  Notes  How To Prepare Forms

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