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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Exit Checklist"]
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[]
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[null,"The following checklist is designed to assist departments in identifying and completing appropriate separation procedures both prior to and following the actual departure of an employee from their position at Northern Illinois University.  Please review these items with your departing employee prior to the last day of employment.  The completed version of this sheet will be placed in the employee personnel file.  Not all items will apply to every person; in that event, record “n/a” in the appropriate section."]
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[]
[]
[]
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[null,"Name of Employee:",null,null,null,null,null,null,null,null,null,null,null,null,null,"  ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Employee ID Number:"]
[]
[null,"Department:",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Employment Status:"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Civil Service",null,null,null,null,null,null,null,null,null,null,null,"Faculty",null,null,null,null,null,null,null,null,"SPS"]
[null,"Effective Date of Separation:",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Temporary",null,null,null,null,null,null,null,null,null,null,"Regular"]
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[null,"Informational Items"]
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[null,null,null,"**Civil Service Employee."]
[null,null,null,null,null,null,"It is required that the employee complete the formal Resignation Form with the HR-Employee"]
[null,null,null,null,null,null,"Life Cycle team. Please email CivilServiceEmployment@niu.edu with any questions."]
[]
[null,null,null,"**Faculty and Support Professional Staff Employee."]
[null,null,null,null,null,null,"The employing department must attach the resignation and/or retirement letter to the \"Vacate\""]
[null,null,null,null,null,null," request in PeopleAdmin."]
[]
[null,"**",null," Final Benefit payout may be delayed if this information is not submitted to HR in a timely manner."]
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[null,null,null,"Request employee to complete exit survey which is designed to monitor and address issues of "]
[null,null,null,"recruitment, retention, climate, and diversity initiatives at Northern Illinois University.  The completion"]
[null,null,null,"of survey is strictly voluntary.  All information is confidential and will be maintained by the office of "]
[null,null,null,"Affirmative Action and Diversity Resources."]
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[null,null,null,"If faculty, verify that all grades have been submitted."]
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[null,null,null,"If a supervisor, verify that all evaluations, correspondence, etc., have been completed."]
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[null,null,null,"Confirm that the employee has provided Human Resource Services with:"]
[null,null,null,null,null,null,"•",null,"Accurate current or forwarding address"]
[null,null,null,null,null,null,"•",null,"Complete final time card or final benefit usage statement"]
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[null,null,null,"Remind the employee to contact Human Resource Services to discuss:"]
[null,null,null,null,null,null,"•",null,"Continuation of health coverage under COBRA"]
[null,null,null,null,null,null,"•",null,"Conversion or continuation of life insurance"]
[null,null,null,null,null,null,"•",null,"Distribution of retirement contributions"]
[null,null,null,null,null,null,"•",null,"Payout of sick and vacation time"]
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[null,null,null,"Discuss disposition of mail received by department."]
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[null,null,null,"Remove all personal items from offices or lockers."]
[null,"Financial Liabilities"]
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[null,null,null,"Cancel signature authority for time cards by sending a memorandum to Payroll."]
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[null,null,null,"Cancel signature authority over university accounts by sending a memorandum to Accounting."]
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[null,null,null,"The employee should reconcile any cash advances or petty cash accounts by contacting Accounting."]
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[null,null,null,"Any non-reimbursed travel expenses should be processed through the department prior to the "]
[null,null,null,"employee’s termination date."]
[]
[null,null,null,"Return any university credit cards:"]
[null,null,null,null,null,null,"•",null,"Gas"]
[null,null,null,null,null,null,"•",null,"Telephone"]
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[null,null,null,"Settle any university Library fines or unsettled accounts."]
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[null,null,null,"Settle any parking fines. Recommend that employee return parking tag and check with Parking "]
[null,null,null,"Office as to whether any refund will be available for unused time on parking tag."]
[]
[null,"** Note to the employee that any outstanding debts to the university (i.e., Parking or Library fines or "]
[null,"unsettled accounts) may delay refund of retirement system contributions.  Outstanding debts should "]
[null,"be settled prior to the effective date of separation.  "]
[]
[null,"Access to Facilities/Equipment and Disposition of University Property"]
[]
[null,null,null,"Return University keys – Contact  Key Control to give the department a complete list of all keys"]
[null,null,null,"issued to the departing employee.  All keys and appropriate form must be returned to Key Control."]
[]
[null,null,null,"[Non-Retirees] Return OneCard to Department. Department will return to OneCard office,"]
[null,null,null,"[Retirees] Exchange OneCard for \"Retiree OneCard\" at OneCard office."]
[]
[null,null,null,"Return university property being used on or off campus including but not limited to equipment/supplies listed below:"]
[null,null,null,null,null,null,"•",null,"Computers",null,null,null,null,null,null,null,null,null,null,null,null,"•",null,"Laboratory Equipment",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"•",null,"Cellular Phones ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"•",null,"Disks"]
[null,null,null,null,null,null,"•",null,"Modems",null,null,null,null,null,null,null,null,null,null,null,null,"•",null,"Vehicles",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"•",null,"Pagers",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"•",null,"Software"]
[null,null,null,null,null,null,"•",null,"A.V. Equipment",null,null,null,null,null,null,null,null,null,null,null,null,"•",null,"Manuals",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"•",null,"Radios (2-way)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"•",null,"Uniforms"]
[null,null,null,null,null,null,"•",null,"Library Property"]
[]
["Access to Online Accounts and Systems"]
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[null,null,null,"[Non-Retirees] NIU Account IDs are disabled immediately following the date of separation from NIU and all permissions and authorizations removed. Access to MyNIU HR Self Service System will remain for 60 days to allow a separated employee to view and download their final pay advice. After 60 days, the separated employee's O365 email account will enter Microsoft's deletion process.  Please speak with your local IT support or email ServiceDesk@niu.edu for more information."]
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[null,null,null,"[Retirees and Emeritus Faculty] If you are or will become a member of the NIU Annuitants Association, you may request a new account. If you would like assistance, staff from the Division of Information Technology can meet with you to walk through access requests and help you with any data migrations from your employee to your retiree account. Send email to ServiceDesk@niu.edu for more information and to set up an appointment before you retire."]
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[null,null,null,"PeopleAdmin – Please request that the employee’s access be removed and, if applicable, determine which other employee’s access should be revised.  Requests for changes to employee’s access should be sent to AffirmativeAction@niu.edu ."]
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[null,null,null,"Cancel telephone services - Email ServiceDesk@niu.edu asking that the voicemail feature for the employee be cancelled and include the disposition of the phone line, phone, network connection and directory information."]
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["Please complete this checklist and return a signed copy to Human Resource Services."]
[]
["Employee Signature:",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Date:"]
[]
["Department Signature:",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Date:"]

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