Exit checklist 								Checklist 6

Name:		
Job title:		
Date:		

What	Date completed and by whom	
Exit interview arranged or survey sent to departing employee		
Company property returned		
Final pay explained and agreed upon		
Certificate of service (form 13) provided		
Notification to Centrelink if required		

Comments:		

Signed:		
Name:		
Date:		

Instructions:
•	Ensure checklist is signed by manager
•	Keep copy in HR file