Sample of Exit Form
Sample of Exit Form
All exiting employee must return all the Company’s property and tools to the issuing department prior to
their last working day. Present this checklist to the applicable departments for verification that items were
issued and returned or that none were issued. Your final remuneration will be approved for payment process
when the completed checklist is returned back to the Human Resource Department.
Employee Information
Name: Date of Joining: Position:
DEPARTMENT CLEARANCE
Managers
Name/
State the Status Signature
Relevant keys, passwords, working
tools and any other departmental
items
Comment:
ACCOUNT/FINANCE DEPARTMENT
State the Status Managers
Name/
Signature
Comment:
Admin. Unit
Managers
Name/
Signature
State the status
Laptops/Bag/Desktop/Computer
accessories
Comment:
Internal Loan
Comment:
Comment: