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Exit Checklist and
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Fields marked with an
Primary Work Site
Has your address or phone number changed?
Phone Number Change
Phone Number & Address Change
If any, what are the changes?
Keys to Building/Swipe Card Returned
What should be done with PTO?
ID Badge Returned
Equipment Returned (Laptop, Wireless Mouse, Cell Phone, Internet Card, Etc.)
Laptop Tag #(Green Tag on Laptop)
Logins (What did you have logins for? Email, Champs, NextGen)
Other Item Obtained
To be discussed:
Extended medical coverage insurance plan (for COBRA requirements)
Outstanding Bills to PC
Unemployment Insurance Claim (provide instruction sheet)
PTO payout if applicable
The above has been discussed.
Other notes to be shared:
Offboarding tasks have been assigned in Bamboo?
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