Warning:
These forms are provided AS IS.  They may not be any good.  Even if they are good in one state or jurisdiction, they may not work in another.  And the facts of your situation may make these forms inappropriate for you.  They are for informational purposes only, and you should consult an attorney before using them.

MANAGER'S PRE-DISMISSAL CHECKLIST

Name of Employee: _______________________________

Date of Termination: _____________________________

You must collect the following items from the above employee prior to his separation from the company:

[ ] All keys returned.

[ ] Company vehicle returned.

[ ] Company credit cards returned.

[ ] Company phone credit cards returned.

[ ] Company equipment returned (e.g., portable phones, beepers, PCs).

[ ] COBRA election forms signed and returned.

[ ] 401K election forms signed and returned.

[ ] Profit sharing election forms signed and returned.

[ ] Company documents and files inventoried.

[ ] Desk and working premises inventoried.

[ ] Personnel and Payroll Departments notified.

[ ] Final expense report approved and expense check prepared.

[ ] Final payroll check prepared.

[ ] Exit interview given.

[ ] Final checks (payroll and expense) given to terminating employee.

All of the above duties have been completed in a satisfactory and timely manner. Company has no further liability associated with terminating employee.

Manager's Signature: ____________________________ Date: _______________

Warning:
These forms are provided AS IS.  They may not be any good.  Even if they are good in one state or jurisdiction, they may not work in another.  And the facts of your situation may make these forms inappropriate for you.  They are for informational purposes only, and you should consult an attorney before using them.