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    Xavier University Human Resources Office: Employee Clearance Form

    Uploaded by

    Victoria Beltran Subaran
    The Xavier University Employee Clearance Form is used to document an employee's separation from the university, including their last day of employment, reason for leaving, and confirmation that they will maintain confidentiality of student and employee information. The form requires signatures from various university offices to confirm the return of equipment and clearance of any outstanding balances before final pay can be released. Employees must visit designated offices and obtain the appropriate signatures on the form before completing the exit process.

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    Xavier University Human Resources Office: Employee Clearance Form

    Uploaded by

    Victoria Beltran Subaran
    135 views2 pages
    The Xavier University Employee Clearance Form is used to document an employee's separation from the university, including their last day of employment, reason for leaving, and confirmation that they will maintain confidentiality of student and employee information. The form requires signatures from various university offices to confirm the return of equipment and clearance of any outstanding balances before final pay can be released. Employees must visit designated offices and obtain the appropriate signatures on the form before completing the exit process.

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    The Xavier University Employee Clearance Form is used to document an employee's separation from the university, including their last day of employment, reason for leaving, and confirmation that they will maintain confidentiality of student and employee information. The form requires signatures from various university offices to confirm the return of equipment and clearance of any outstanding balances before final pay can be released. Employees must visit designated offices and obtain the appropriate signatures on the form before completing the exit process.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    135 views2 pages

    Xavier University Human Resources Office: Employee Clearance Form

    Uploaded by

    Victoria Beltran Subaran
    The Xavier University Employee Clearance Form is used to document an employee's separation from the university, including their last day of employment, reason for leaving, and confirmation that they will maintain confidentiality of student and employee information. The form requires signatures from various university offices to confirm the return of equipment and clearance of any outstanding balances before final pay can be released. Employees must visit designated offices and obtain the appropriate signatures on the form before completing the exit process.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 2

    XAVIER UNIVERSITY

    Human Resources Office

    EMPLOYEE CLEARANCE FORM

    Employee Name: _______________________________ ID No.:_______________

    Unit/Dept./College: _______________________ Position Title/Rank: _____________

    Employee Status: Regular Faculty Regular Staff Substitute


    Formator Contractual
    Last day of active Employment: __________________
    Type: a. Leave of absence without pay Period: ___________________

    b. End of Contract effective: _________________

    c. Resignation effective: _____________

    d. Retirement: ____________________

    e. Transfer to another Department


    f. Others: ____________________
    Upon separated, I understand that I have an on-going responsibility to maintain the
    confidentiality of any student and/or employee information to which I may have had
    access during my employment. I understand that my final pay will be released only
    upon completion of this Employee Form.

    ________________________________ ____________________
    Employee’s Signature Date

    Employees must visit university offices to obtain the appropriate signature before the
    exit.
    PRINTED NAME & SIGNATURE DATE
    1. Dept. Clearance
    c Key Desk
    Computer Cellphone
    Other Equipment
    __________________
    2. Library
    Library Fines
    Library Materials
    3. Campus Ministries

    4. Book Center

    5. Physical Plant

    6. Finance Office

    7. CISO Laptop
    Access to XU
    mail
    8.AVP

    9. Registrar

    10. HR Director *
    RFID UNIFORM
    * Submit a notarized Affidavit of Loss if the ID is lost.
    Departments are responsible for costs associated with the failure to secure university property &
    resources upon separation of an employee.
    Distribution: HR Office, Finance Office, Employee.

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