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Spring Fertility

Employee Separation Details

Complete this form for processing at least 3 business days prior to separation when possible. If you are replacing this position, please submit a job requisition form.

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Employee Change Employee Separation

Employee Separation Details

Complete this form for processing at least 3 business days prior to separation when possible. If you are replacing this position, please submit a job requisition form.

Employee & Separation Date

Employee *

✓

Please enter the employee's name to search

Assigned Devices (Asset Panda) 0

AI Approver Reassignment Required 0

Separation Date *

Separation Time What time should accounts be deactivated? (Pacific Time)

Submitted by (Manager) You are submitting this form as the employee's manager

Separation Type *

Voluntary Involuntary

Have you received a resignation letter? *

Yes No

Resignation letters are required for voluntary separation

Upload Resignation Letter *

Click to upload or drag and drop
PDF, Word, or image files (max 6 MB)

This file will be attached to the separation ticket after submission.

Reason for Separation (select all that apply) *

Eligible for rehire *

Yes No

Additional Comments For HR use only

Do they need their emails forwarded? *

Yes No

To whom should their emails be forwarded? *

✓

Will someone need to send emails from their email address? *

Yes No

Who should be able to send emails from their email address? *

✓

Do their calls need to be forwarded? *

Yes No

Who should receive their calls? *

Do we need to keep their emails? *

Yes No

How will this user return their equipment? *

Manager will collect it They will drop it off They will need a return box

What location will they drop off their equipment? *

Where should the return box be shipped? *

Additional comments For IT use only