Fill in Exit Clearance (No-Dues) Form

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Exit Clearance (No-Dues) Form

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This is the document as far as you have reached, not the whole of it yet — the rest appears as you answer more questions. It is rewritten every time you change an answer.

A long blank line — __________ — stands wherever an answer has not been given. It is left that visible on purpose, so an unfinished document cannot be mistaken for a finished one.

No answer has been given, so every place a detail belongs is standing blank. The shape of the document is worth reading even now.

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__________

EXIT CLEARANCE (NO-DUES) FORM

A. WHAT THE EMPLOYEE IS TO RETURN

B. CLEARANCE BY EACH DEPARTMENT

1. Work and files handed over. Handover note received and work transferred.

Cleared / Not cleared. Remarks: ______________________
Signature, name and date: ______________________ (Reporting manager)

2. Property returned. Everything listed in part A has been returned in good order, or the shortfall is noted.

Cleared / Not cleared. Remarks: ______________________
Signature, name and date: ______________________ (Administration)

3. Systems and access. Email, logins and other access have been closed, and company data has been taken back.

Cleared / Not cleared. Remarks: ______________________
Signature, name and date: ______________________ (IT or the person responsible)

4. Accounts. Advances, loans and expense claims have been checked, and the amount outstanding, if any, is noted here: ______________________

Cleared / Not cleared. Remarks: ______________________
Signature, name and date: ______________________ (Accounts)

5. Human resources. Notice period, leave balance and records have been checked, and the final settlement has been started.

Cleared / Not cleared. Remarks: ______________________
Signature, name and date: ______________________ (Human Resources)

C. DECLARATION BY THE EMPLOYEE

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