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The Employee Clearance Form plays a crucial role in ensuring that departing employees complete all necessary tasks before their final day at work. It requires employees to be physically present on their last day to secure signatures from various departments, including the Learning Resource Center and Public Safety. This form helps confirm that all company property, such as keys, electronic devices, and uniforms, is returned. Additionally, employees must clear any outstanding tuition waivers and have their email accounts checked for college-related data before leaving. Those with long tenures may have special provisions, like retaining their employee ID cards. By returning this form to Human Resources, employees facilitate a smoother transition while also ensuring compliance with college policies. Providing an alternate email address is also vital, allowing for continued access to important tax documents after leaving the institution. Clear communication and completion of the Employee Clearance Form benefit both the departing staff and the organization.

Form Sample

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

Document Specifications

Fact Name Details
Employee's Responsibility The employee must be present on their last day of work to obtain all necessary signatures on the clearance form.
Items to Be Returned Employees are required to return all property belonging to the college, including books, DVDs, equipment, uniforms, and student records where applicable.
Information Systems Clearance The Information Systems department must confirm that any college-related data has been cleared from personal devices used by the employee.
Human Resources Submission Upon completion, the employee must return the clearance form to the Human Resources Department (HH 106) on their last working day.
Email Account Management Employees with ten years of full-time service may opt to join the retiree email group by providing a personal email address during the clearance process.
Release of Employment Information Employment verification requests will only be processed if accompanied by an "Authorization to Release Information" form signed by the employee.

Steps to Filling Out Employee Clearance

Filling out the Employee Clearance form is an essential task to ensure a smooth transition from employment. Once the form is completed and all appropriate signatures are obtained, it should be returned to the Human Resources Department on the last day of work. Here's how to properly fill out the form step-by-step.

  1. Provide Employee Information: Fill in your name, employee number, last day of work (LDW), job title, and department. For AAPF & CCMSA employees, indicate if you have outstanding Tuition Waivers by selecting "Yes" or "No."
  2. Items to be Returned: Review the sections concerning the return of items belonging to various departments. Make sure to understand what needs to be returned to each department.
  3. Obtain Required Signatures: Approach a representative from each department listed on the form. They must sign the appropriate line to acknowledge that you have returned items and have no outstanding obligations.
  4. Check for Additional Requirements: For the Information Systems (IS) department, confirm that college data is cleared from any personal devices. Also, if you have linked your smartphone to the CCM server, ensure that functionality is disabled and that all college emails are removed.
  5. Complete the Email Account Section: Provide an alternate email address for record updates. If you qualify, you may choose to opt-in to the retiree email group by entering a personal email address.
  6. Change of Address: If you are moving, write your new address, city, state, zip code, and the effective date of the change.
  7. Sign the Form: Finally, add your signature at the designated area to certify that all information provided is accurate and you understand the requirements.

More About Employee Clearance

What is the Employee Clearance Form, and why is it important?

The Employee Clearance Form serves as a comprehensive checklist ensuring that all necessary items and responsibilities are settled before leaving your position. It holds importance because it requires employees to return company property and complete required tasks, guaranteeing a smooth separation and preventing outstanding obligations that could impact future employment verification.

Who is responsible for completing the Employee Clearance Form?

The onus is on the employee to complete the form on their last day of work. This includes obtaining required signatures from various departments, which affirms that all company property has been returned and obligations fulfilled. It’s essential for the employee to be present to ensure all steps are followed accurately.

What items must I return, and who needs to sign the form?

You must return specific items based on your department, which may include books, DVDs, uniforms, equipment, and keys. Each department listed on the form requires a representative to sign, confirming that you have nothing outstanding. Be sure to check with each area to ensure all necessary items are returned and signatures are obtained.

What happens if I don’t return items or obtain signatures?

If you neglect to return items or obtain required signatures, it may delay your clearance process. Additionally, outstanding obligations could lead to complications with receiving your final paycheck or obtaining employment verification in the future. Complete cooperation is vital to avoid these issues.

Can I keep my employee ID card, and under what circumstances?

If you are an employee with at least 25 years of full-time service, you may retain your employee ID card. For everyone else, the card must be returned as part of your clearance process. This policy ensures that only current, verified employees have access to facilities and services.

How do I change my email address for employment records?

To update your email address, provide a new address in the designated section of the form. This email will be used for critical updates, including access to pay statements and tax documents like your W-2 and 1095-C forms. Keeping your contact information current is essential for maintaining access to necessary records and communications after your departure.

Common mistakes

  1. Not being present on the last day of work. Completing the Employee Clearance form requires the employee to be physically present, as their signature is needed.

  2. Failing to obtain all necessary signatures from each department. Each department listed must sign the form to acknowledge that there are no outstanding items.

  3. Overlooking to return all items. Employees must ensure that all books, equipment, uniforms, and other materials are returned before signing the clearance form.

  4. Not returning college keys and identification cards. Keys and employee ID cards must be handed back, or the clearance may not be completed.

  5. Ignoring the need to clear personal devices of college-related data. If personal devices were used for college information, this data must be wiped with assistance from Information Services.

  6. Neglecting to complete the alternate email address section. Providing a personal email is essential for updating records and accessing future tax documents.

  7. Failing to indicate any outstanding Tuition Waivers, if applicable. Employees must disclose this information to prevent complications after employment ends.

  8. Not registering for the retiree email group if eligible. Employees retiring with at least ten years of service have the option to opt-in, and they must provide a personal email.

  9. Forgetting to provide a new address if they are moving. Employees need to include their new address and effective date to ensure correspondence is correctly directed.

  10. Not using the correct format for forms. All sections must be clearly filled out, as incomplete forms can delay the clearance process.

Documents used along the form

The Employee Clearance Form is an important part of the offboarding process for employees leaving an organization. To ensure a smooth and comprehensive transition, several other documents commonly accompany this form. Each document serves a specific purpose and is vital in helping both the employee and the employer conclude the employment relationship properly.

  • Authorization to Release Information Form: This document allows an employee to authorize the verification of their employment details for potential future employers. It ensures that the requestor has permission to access necessary information, making it easier for the former employee to secure new employment.
  • Exit Interview Form: Conducted typically on the last day of work, this form captures feedback about the employee’s experience within the organization. This information can provide insights into workplace satisfaction and areas for improvement, benefiting the company in the long run.
  • Final Paycheck Acknowledgment: This form confirms that the departing employee has received their final paycheck. Acknowledging receipt helps avoid any future disputes regarding compensation due upon termination, ensuring clarity and transparency for both parties.
  • Retirement or Benefits Change Form: For employees retiring or changing their benefit status, this document is essential. It allows them to update their information regarding insurance, pension plans, and other benefits, ensuring a smooth transition into retirement or a new employment situation.

These forms collectively enhance the clearance process and provide a framework within which employees and employers can facilitate a respectful and organized departure. By ensuring each document is correctly completed and submitted, both parties can move forward with confidence, ready for the next steps in their respective journeys.

Similar forms

The Exit Interview form is quite similar to the Employee Clearance form. Both documents serve the purpose of gathering information as a worker exits an organization. The Exit Interview typically includes questions about the employee’s experience at the company. It also requires the employee's signature to confirm their responses, similar to the clearance form, where signatures from department representatives are necessary to acknowledge the return of company property.

The Final Pay Authorization form parallels the Employee Clearance form as well. It ensures that all financial matters are settled before an employee leaves the organization. Employees must sign this form, confirming that they have received all due pay and benefits. Like the clearance form, the Final Pay Authorization also involves verification from the Human Resources department to finalize everything correctly.

The Non-Disclosure Agreement (NDA) bears similarities to the Employee Clearance form due to its focus on confidentiality. When an employee signs off on the NDA, they acknowledge their responsibility to protect the company's sensitive information. This aspect is similar to how the clearance form requires employees to ensure that no confidential documents or company property are outstanding before leaving.

The Resignation Letter serves a comparable function to the Employee Clearance form by documenting an employee's decision to leave the organization. Employees must submit a resignation letter, which often includes their last working day and any relevant details. Just as the clearance form requires specific actions on the final day, submitting a resignation letter initiates the process for both the employee and the employer.

The Employee Benefits Termination form is akin to the Employee Clearance form since it formalizes the ending of certain employee benefits. Employees must complete this form to confirm they understand the impact of leaving, similar to how the clearance form ensures employees return all company property. Both documents require signatures for verification purposes.

The Last Will and Testament can resemble the Employee Clearance form in certain contexts. While the two documents serve different purposes, both involve finalizing aspects of an individual's relationship with a company or estate. The process of having a will witnessed and signed echoes the requirement of obtaining signatures on the clearance form, emphasizing finality in both cases.

The Return of Company Property Receipt is directly related to the Employee Clearance form. It is a document that specifically tracks the items being returned to the company. The clearance form also includes a section on items to be returned, ensuring that all aspects of property retrieval are documented and acknowledged by relevant departments.

The Authorization to Release Information form aligns with the Employee Clearance form as both deal with the proper handling of an employee's information. Just as the clearance form certifies that an employee has returned all materials, this authorization requires the employee to give explicit permission before any personal information can be shared. Both forms emphasize the need for clear communication regarding sensitive data.

The Performance Evaluation summary may demonstrate some similarities as well. While this document assesses an employee’s work during their tenure, it can be reviewed as part of the exit process. Just like the Employee Clearance form, it requires signatures from supervisors, ensuring that all aspects of employment are addressed before final departure.

Finally, the Tax Withholding Certificate serves a function that is somewhat compatible with the Employee Clearance form. When an employee leaves, they must ensure that their tax information is correct and final, similar to how the clearance form ensures that all company obligations are met. Both documents involve confirming details that play a role in the employee's record-keeping as they transition out of the organization.

Dos and Don'ts

Do's when filling out the Employee Clearance form:

  • Be present on your last day of work to obtain required signatures.
  • Ensure that all items specified in the form are returned to the appropriate departments.
  • Provide a valid alternate email address for updates and access to important documents.
  • Complete all sections of the form accurately, including employee information and address changes.
  • Check with your supervisor or department head to confirm any outstanding items before your final day.

Don'ts when filling out the Employee Clearance form:

  • Do not forget to return College property, including keys, equipment, and clothing.
  • Avoid leaving any sections of the form incomplete; this can delay the clearance process.
  • Do not neglect to have your email account and any college-related information cleared by IS.
  • Refrain from assuming all steps are optional; compliance with each requirement is necessary.
  • Never submit the form without confirming all signatures are in place from each respective department.

Misconceptions

Misconceptions surrounding the Employee Clearance Form can lead to confusion for employees as they prepare to exit their positions. Here are seven common misunderstandings:

  • Employees can submit the form without being present on their last day. This is incorrect. The form must be completed in person on the last day of work to ensure all signatures are collected.
  • Only Human Resources needs to sign the form. In reality, signatures are required from various departments. Each department must acknowledge that all items have been returned and obligations met.
  • All items can be returned at any time before leaving. This is misleading. Items must be returned by the employee on their last working day, which is the only time the clearance process is finalized.
  • Employees do not have to clear their technology devices. This misconception overlooks the requirement that all college-related data must be removed from personal devices that were linked to college systems.
  • Employees with outstanding Tuition Waivers can ignore them. This is a mistaken belief. If an employee has outstanding Tuition Waivers, this must be addressed during the clearance process.
  • Once the form is submitted, it is the responsibility of Human Resources. Conversely, the employee must ensure that the form is filled out properly and all sections, including the signatures, are completed before submission.
  • Employees retiring can keep their employee ID card regardless of service time. This statement is not entirely true. Only those with at least 25 years of full-time service have the option to retain their ID card.

Understanding these points can help make the clearance process smoother and prevent any unnecessary complications on the last day of work.

Key takeaways

Here are the key takeaways regarding the Employee Clearance form:

  • Presence Required: Employees must be present on their last day of work to complete the clearance process.
  • Signature Collection: It is the employee's responsibility to obtain signatures from all required departments listed on the form.
  • Return Location: The completed clearance form must be returned to the Human Resources Department in HH 106 on the last workday.
  • Item Return: All items belonging to various departments, such as books, equipment, and keys, must be returned as part of the clearance.
  • Email and Address Updates: Employees should provide an alternate email address for updates and may need to report a change of address if applicable.
  • Employment Verification: Employment verification requests require a signed “Authorization to Release Information” form, unless required by law.