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The Employee Clearance Form plays a crucial role in ensuring a smooth transition for employees as they complete their tenure with the organization. Each employee is responsible for obtaining the necessary signatures from various departments on the last day of work, signaling that all responsibilities have been fulfilled and all company property has been returned. During this process, the employee must confirm their identity, including personal details such as name, employee number, job title, and department. Specific tasks include returning items like books from the Learning Resource Center, DVDs and equipment from Campus Life, and any department equipment or uniforms to respective supervisors or managers. Additionally, information systems must ensure that any college-related data stored on personal devices is cleared, while the Public Safety Department requires the return of college keys and essential employee cards. Employees with a long-standing service record may retain their ID card, enhancing the personal significance of this form. By filling out the Employee Clearance Form accurately and returning it to Human Resources, the exiting employee helps maintain the integrity of organizational records while also paving the way for future employment verification requests. Furthermore, employees are encouraged to provide an alternate email address and may opt into retiree email services, supporting ongoing communication even after departure. This form not only signifies the end of one chapter but also ensures that all loose ends are tied up efficiently.

Employee Clearance Example

Employee Clearance Form

Employee MUST be present on last day of work and is responsible to obtain all signatures by each

Department noted below. Return this form to the Human Resources Department-HH 106 on last day of work.

EMPLOYEE INFORMATION

 

Employee Name:

 

Employee #:

 

LDW:

 

 

 

 

 

 

 

 

 

 

 

Job Title:

 

Department:

 

 

 

 

 

 

 

 

 

 

 

 

 

AAPF & CCMSA employees: Do you have any outstanding Tuition Waivers?

 

Yes

No

 

 

 

 

 

 

 

 

ITEMS TO BE RETURNED

 

 

Signatures Required Below

 

 

A Department representative for each area listed below MUST sign-off

 

Department

 

Date Signed

 

on this form to acknowledge the employee has nothing outstanding

 

 

Signature

 

 

 

 

 

 

 

 

LRC: All books and other materials that are the property of the LRC must be

 

 

 

 

 

 

returned.

 

 

 

 

 

 

 

 

Campus Life: All outstanding DVDs & other equipment must be returned.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

AS REQUIRED – All outstanding department equipment, uniforms, supplies

 

 

 

 

 

 

 

& credit cards must be returned to your Supervisor/Manager.

 

 

 

 

 

 

 

 

IS: If you stored college information anywhere other than on College owned

 

 

 

 

 

 

 

Equipment (ie: iPad, Tablet, personal computer, etc.), IS must clear your

 

 

 

 

 

 

 

media of all College related data.

 

 

 

 

 

 

 

 

IS: If you linked your Smartphone to the CCM server for email, please have

 

 

 

 

 

 

 

this function turned off & all college related emails removed by IS.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FACULTY ONLY – All grades from previous semesters have been entered.

 

 

 

 

 

 

 

The Office of Records and Registration will take a copy & return to HR.

 

 

 

 

 

 

 

Public Safety Department: All College keys and “Essential Employee”

 

 

 

 

 

 

 

Cards must be returned.

 

 

 

 

 

 

 

 

Human Resources Department: Employee ID card must be returned.

 

 

 

 

 

 

 

 

*An employee with at least 25 years of full-time service may keep their

 

 

 

 

 

 

 

employee ID card.

 

 

 

 

 

 

 

 

RELEASE OF EMPLOYMENT INFORMATION

 

 

 

Employment Verification requests will only be verified if an “Authorization to Release Information” form signed by you is provided by the requestor. (Except as required by law.)

E-MAIL ACCOUNT

Employee’s retiring with at least 10 years of full-time service can elect to Opt-In to the retiree email group by registering a PERSONAL email address on the CCM website: www.ccm.edu/retiree-email/

ALL employees MUST provide an alternate email address so that CCM can update your record in Colleague. This information will enable you to access Titans Direct so that you can obtain pay advices, your W-2 and your 1095-C forms for tax purposes.

Alternate email:@.

CHANGE OF ADDRESS

If you will be moving, please provide your NEW ADDRESS below and the effective date:

New Address:

City:

State:

Zip Code:

 

 

 

Employee Signature:

Employee Clearance Form – Eform – Rev. 06-2021

Form Characteristics

Fact Name Details
Employee Responsibility The employee must be present on their last day of work to obtain all required signatures.
Return Location This completed form should be returned to the Human Resources Department located in HH 106 on the last day of work.
Department Signatures Each department representative listed must sign the form, confirming that the employee has no outstanding obligations.
Outstanding Items All college property, such as books, equipment, uniforms, and keys, must be returned prior to final clearance.
Email Account Transition Employees retiring with at least 10 years of service may opt to join the retiree email group by registering a personal email.
Address Change Notification If an employee is moving, they must provide their new address and effective date for records update.
Employment Verification Requests for employment verification require a signed “Authorization to Release Information” form, except as mandated by law.

Guidelines on Utilizing Employee Clearance

Completing the Employee Clearance Form is an important step as you prepare for your departure. This form ensures that all necessary departments confirm your responsibilities are settled before you officially wrap up your time with the organization. Follow these steps carefully to complete the form properly.

  1. Write your personal information: Fill in your name, employee number, last day of work (LDW), job title, and department at the top of the form.
  2. Tuition Waivers: Indicate whether you have any outstanding Tuition Waivers by checking "Yes" or "No."
  3. Items to be returned: Review the list of items that need to be returned and ensure you return them to the appropriate departments.
  4. Collect signatures: For each department listed, request a representative to sign and date the form to confirm you have returned all items. Make sure the signature is gathered on the day of your last work.
  5. Fill out email account information: If you have been employed for at least ten years, consider registering a personal email address for retiree communication. Also, provide an alternate email address for record updating purposes.
  6. Update address if applicable: If you're moving, enter your new address and the effective date of the move.
  7. Sign the form: At the bottom of the form, make sure to sign and date it to verify all information is correct and complete.

Once you have filled the form out completely and gathered all necessary signatures, return it to the Human Resources Department in room HH 106 on your last day of work. This will ensure a smooth transition as you move forward in your career.

What You Should Know About This Form

What is the purpose of the Employee Clearance Form?

The Employee Clearance Form serves as a checklist for ensuring that employees return all company property and complete necessary procedures before their last day of work. It helps departments confirm that employees have returned items, cleared data from personal devices, and taken care of any outstanding obligations.

Who is responsible for completing the Employee Clearance Form?

The employee is responsible for completing the form. They must be present on their last day of work to obtain signatures from the relevant departments, confirming that all items have been returned and obligations fulfilled.

What items need to be returned as part of the clearance process?

Employees must return all college property, including but not limited to books, DVDs, equipment, uniforms, supplies, and employee ID cards. The specific items depend on the departments involved, such as the Learning Resource Center (LRC) and Campus Life.

How does an employee ensure they have no outstanding items?

Employees should review all items issued to them and return them to their respective departments. Each department will then sign the clearance form to confirm that the employee has returned everything required.

What should an employee do if they stored college information on personal devices?

If college-related information has been stored on personal devices, an employee must contact the IT department (IS) to clear all college data. This also includes ensuring that any connections to college servers on smartphones are disabled.

What should an employee do regarding employment verification requests?

Can employees keep their ID cards after leaving the college?

Employees with at least 25 years of full-time service may keep their employee ID cards. All others are required to return their ID cards to Human Resources on the last day of work.

What options are available for retiring employees regarding email accounts?

Retiring employees with at least 10 years of full-time service can opt to join the retiree email group by registering a personal email address on the college website. This allows them to receive communications from the college post-retirement.

What information must an employee provide if they are changing their address?

If an employee is moving, they need to provide their new address, city, state, zip code, and the effective date of the change. This information is important for maintaining accurate employee records and ensuring they receive important documents.

Where should the completed Employee Clearance Form be submitted?

The completed form must be returned to the Human Resources Department, located in HH 106, on the employee’s last day of work. This submission is essential to confirm that all clearance items have been properly managed.

Common mistakes

Completing the Employee Clearance form is a crucial process that ensures a smooth transition out of employment. However, employees often make several mistakes that can significantly delay their clearance and create unnecessary complications. Here are seven common errors that should be avoided.

First, some employees fail to attend their final day of work. It is vital to be present on this day to obtain the necessary signatures from department representatives. Neglecting to do so could lead to an incomplete form, ultimately delaying the clearance process. Employees must recognize that **this is not a task that can be delegated.**

Second, omitting or incorrect information in the employee section is another frequent issue. Employees sometimes rush through filling out the form without verifying their names, employee numbers, or department details. Missing details can create discrepancies that HR must resolve later, which can lengthen the clearance timeline.

Third, an employee might overlook their outstanding Tuition Waivers if applicable. Not answering the question about tuition waivers could indicate an unresolved issue with their department, complicating departure proceedings. Employees should ensure they know their obligations to the institution.

Fourth, leaving required sections unsigned is a common pitfall. Each department’s representative must sign off to confirm there are no outstanding materials or obligations. Without these signatures, the clearance form is invalid. This task should not be underestimated and should be completed thoroughly during the last working day.

Fifth, failing to return all items in a timely manner contributes to delays. Employees are responsible for returning all property, including books, equipment, and keys. Forgetting an item can lead to additional requirements from each respective department, bogging down the clearance process.

Sixth, neglecting to provide an alternate email address is another mistake that can have significant repercussions. This address is essential for updating records and retaining access to important documents like pay advices and tax forms. Employees must ensure that they specify this information accurately in the form.

Lastly, many employees overlook the change of address section. Providing an effective new address ensures that future communications from the institution are delivered accurately. Failing to do so may lead to missed forms and important correspondence that can create frustration later on.

To sum up, being careful and thorough while completing the Employee Clearance form is essential. Each step in this process is designed to help both the employee and the institution finalize the employment relationship smoothly. Avoid these common mistakes to enhance the likelihood of a seamless transition.

Documents used along the form

The Employee Clearance Form is a key document for ensuring the smooth transition out of a workplace. Along with this form, there are several other documents that may be required to wrap up your employment. Here is a brief overview of each one, providing context for their importance.

  • Authorization to Release Information Form: This document allows an employer to verify your employment details if a third party requests it. Without it, your employment details cannot be shared.
  • Exit Interview Form: Conducted by Human Resources, this form collects feedback about your experience at the organization. It helps your employer improve and retain future employees.
  • Final Paycheck Acknowledgment: This document confirms that you have received your final paycheck, noting any deductions that may have occurred. It provides clarity regarding your final compensation.
  • Retirement or Benefits Election Form: If you are retiring or changing your status, this form allows you to choose your benefits or confirms your intentions regarding retirement plans.

Completing these documents along with the Employee Clearance Form helps ensure all loose ends are tied up before you leave. Being organized and proactive in this process makes the transition smoother for everyone involved.

Similar forms

The Employee Clearance Form shares similarities with several other documents typically involved in the employment termination process. Here are six documents that are similar and the ways in which they align:

  • Exit Interview Form: This document collects feedback from the employee about their experience with the company, just like the clearance form gathers final information needed before leaving. Both need the employee’s input on various aspects of their employment.
  • Return of Company Property Form: This form ensures that all company-owned items are returned. Like the clearance form, it requires signatures to confirm that all items have been received back by the company.
  • Final Paycheck Release Form: This document outlines the final paycheck details, similar to how the clearance form handles outstanding payments that may be tied to the employee's departure. Both ensure that financial matters are resolved before an employee leaves.
  • Non-Disclosure Agreement (NDA): An NDA may be referenced or reaffirmed in the clearance process to remind employees of their confidentiality obligations. Each document emphasizes the importance of protecting company information post-employment.
  • COBRA Notification Form: This document informs departing employees about their rights to continue health insurance coverage. It parallels the clearance form in that both provide essential information to employees as they transition out of the organization.
  • Authorization to Release Information Form: This form is necessary for employment verifications and similar to the clearance form, it protects employee privacy. Both require the employee's consent for sensitive information to be shared.

Dos and Don'ts

When filling out the Employee Clearance form, adhere to the following guidelines to ensure a smooth process:

  • Complete the form accurately. Make sure all fields are filled out, including your name, employee number, and department.
  • Return the form on your last day of work. Do not delay submission; it is your responsibility to turn in this form as required.
  • Obtain all necessary signatures. Ensure each department representative signs the form, acknowledging you have returned all items and have no outstanding obligations.
  • Keep copies of all related documents. Document the return of items and signatures received for your records.
  • Register an alternate email address. This is essential for access to important tax documents and CCM updates.

Avoid these common mistakes:

  • Do not ignore deadlines. Submitting the form late can delay your clearance process.
  • Do not submit incomplete forms. Missing information can cause confusion and delay.
  • Do not forget to cancel any college-related services. This includes turning off email on personal devices.
  • Do not neglect to check with IT or any relevant department about your outstanding obligations.
  • Do not dispose of or fail to return college property. Ensure all items are returned to avoid liabilities.

Misconceptions

Misconceptions about the Employee Clearance Form can lead to confusion and delays in the clearance process. Here are seven commonly held beliefs that need clarification:

  1. Only the last day of work is important. Many believe that completing the clearance form is solely a formality needed on the last day. In reality, it is crucial to prepare in advance, as various departments may require time to process returns and sign-offs.
  2. All items must be returned immediately. While items need to be returned, there may be specific protocols for certain departments. Be sure to check with your supervisor about the timeline for returning items.
  3. Returning items is the only responsibility. Some think that getting signatures is the main goal. However, employees must also ensure that all college information has been cleared from personal devices, especially for IT-related departments.
  4. Faculty do not need to submit anything. Faculty members often assume there are no special requirements. In fact, they must ensure all grades from previous semesters have been entered and acknowledged by the Office of Records and Registration.
  5. Employee ID cards are non-returnable for all. Employees believe they can keep their ID cards without question. However, only those with at least 25 years of full-time service are eligible to retain their cards.
  6. Clearing email accounts is optional. Some may think that managing their college email accounts is not necessary. However, it is vital to remove any college-related emails and turn off connections to college servers before submitting the clearance form.
  7. There is no need for a personal email address. Employees may underestimate the importance of providing an alternate email. It is necessary for updates in the college system, and it enables access to vital financial documents after employment ends.

Understanding these points can help ensure a smoother exit process. Taking the necessary steps in advance can alleviate stress and facilitate a clearer transition.

Key takeaways

When filling out the Employee Clearance form, consider the following key takeaways:

  1. Personal Responsibility: The employee must be present on their last day of work. They are responsible for obtaining all required signatures from each department.
  2. Return of Items: Employees must return all items owned by the college, including books, DVDs, equipment, and keys. Each department will require a signature to acknowledge receipt.
  3. Information Security: If any college data was stored on personal devices, the Information Services department must clear this data before the employee's departure.
  4. Email Account Management: Employees retiring with at least ten years of service can register a personal email to receive retiree communications. All employees should provide an alternate email for record updates and access to essential tax documents.
  5. Clearance Submission: After securing all necessary signatures, the completed form must be returned to the Human Resources Department on the last day of work.
  6. Authorization for Employment Verification: Employment verification requests will only be processed if the requestor presents a signed “Authorization to Release Information” form, except where mandated by law.