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UC Denver Employee Check-Out Notification

This form should be completed by the department administrator or designee when an employee is leaving the University due to resignation, transfer outside of the university, or termination.

Please note: When you submit this notification the following departments will receive it:

View Receiving Departments

If you would like access deleted before the last day worked please provide the date in the comments field.

Important check-out tips.

Note: All fields are required with the exception of middle initial and comments.

Employee First Name:*
Employee Middle Initial:
Employee Last Name:*
Employee ID:*
Position Title:*
Position Type:*
Department:*
Campus Location:*
Last Day Worked (mm/dd/yyyy):
Date
Employee Work Email:*
Employee Home Email:
Eligible for Retirement? *Yes
No
Administrator/Designee Email:*
Comments:

Created

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