This Form Should Now Be Sent to Your Human Resources Assistant

Leavers form

Please complete and return to the HR Department by the Payroll deadline of the 3rd of the month accompanied by the resignation letter or consultation form. The HR Department is unable to process any forms not signed by your Head of Department, Departmental Manager or their authorised signatory. Late notification of leaving may result in an overpayment which will delay the issuing of your P45 and pension information. Overpayments will need to be repaid to the College and failure to do so may result in further action. PERSONAL DETAILS (To be completed by employee or worker) Full name (First/Surname) Payroll number Department Job Title Last Working Day Last Day of Service LEAVERS CHECKLIST Are you a resident at the College Yes / No Do you hold more than one post at the College Yes / No

If Yes , are you leaving all the posts at the College Yes / No

If No, give details of the post(s) being vacated

Do you authorise web timesheets Yes / No Have you received relocation costs, payment for course fees or Yes / No any other payments which you are required to repay to the College

Have you checked that your address on MyView is correct (your Yes / No P45 will be posted to this address) and printed off your payslips and P60’s which you may need in the future

For staff who complete timesheets, have you claimed all Yes / No outstanding hours

Please confirm if you have any College equipment and what Yes / No – arrangements for arrangements you have made for their return return are:

of 3 03255949d11f0a1ead5df72fb402da0a.docx DESTINATION ON LEAVING Please indicate with an ‘X’ the most applicable: ☐ Another HEI ☐ Other Education Institution ☐ Student ☐ Other Public Sector ☐ Private Industry ☐ Research Institution (Private) ☐ Research Institution (Public) ☐ NHS/General Medical or General Dental Practice ☐ Self-employed ☐ Voluntary Sector ☐ Not in Regular Employment ☐ Retirement

LOCATION AFTER LEAVING Please indicate with an ‘X’ the most applicable:

☐ England ☐ Northern Ireland ☐ Scotland ☐ Wales ☐ UK (other not specified) ☐ Other EU ☐ Non-EU

SIGNATURE

Signature: Date:

ADDITIONAL DETAILS (to be completed by Head of Department, Departmental Manager or authorised signatory)

Annual leave earned Outstanding days/hours leave to be paid Overtaken leave days/hours to be deducted from final salary Post title and number (if known) Will the post holder be replaced in the same role Yes / No

If not should the post be removed or changed (please provide details) Reason for leaving ☐Dismissed ☐ Redundancy ☐ Resignation ☐ Retired ☐ End of fixed ☐ Redeployment term ☐ Other contract SIGNATURE

Head of Department or authorised signatory

Signature: Date:

Human Resources Use Only Date request actioned Date post ended on HR and Payroll System (if applicable)

Signature Date:

of 3 03255949d11f0a1ead5df72fb402da0a.docx This form should now be sent to your Human Resources Assistant.

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