Termination Form Instructions

Purpose

This form is used to process the voluntary/involuntary termination, retirement, or death of a DOF, HR, or PPPL staff member.

Policy

For information, refer to the HR Policy and Procedures Manual -
http://www.princeton.edu/hr/policies/
or consult with the Office of the Dean of the Faculty or your Office of Human Resources.

Helpful Hints

Pay attention to payroll deadlines attention to payroll deadlines.
Refer to Reason definitions when selecting Reason for Termination or Retirement from the drop down list.

Procedure

Check appropriate Current Staff check box (required)

If a correction to a previously submitted form, check the correction box and provide an explanation. (optional)

Complete all fields in Section I – Employee Information (required)

Complete the following fields in Section II – Termination/Retirement Information:

Last Day Worked/Paid (required)

Effective Date – day after last day worked/paid (required)

Select a Reason from the drop down box (required)

If the Reason selected is Other provide an explanation

Number of Vacation Hours Earned But Not Taken (required but should never be entered for Faculty)

Forwarding Address(required)

Lump Sum Severance(optional)

Charge Severance to Account #(optional)

For DOF Staff Only – complete Evaluation of Total Contribution Section (required)

Comments (optional)

Print completed form.

Sign and date the form. (required)

Fax or mail to the Office of the Dean of the Faculty or your Office of Human Resources:

Office of the Dean of the Faculty - 9 Nassau Hall

Main Campus HR - 8-2420, 2 New South

PPPL Human Resources - 243-2050, MS33 C-Site