StarChefs JobFinder
Employee Termination Checklist

Employee name: ------------------------------------------------------------------------ Position:-----------------------------------------------------------------

Date of hire: ------------------------------------------------------------------------------- Date of termination: -----------------------------------------------

Topics to discuss:

• Salary/Payroll
• Salary through last day of employment:
• Accrued, unused vacation through last day:
• Other adjustments (commission, travel expenses, etc.)
• Disclose any benefits included as taxable wages
• Total of final paycheck:
• Employee benefits:
• Health Insurance:
• COBRA information given to employee
• Date coverage ends:
• Reimbursement due employee for premium:
• Insurance company notified
• Life Insurance:
• Date coverage ends:
• Insurance company notified
• 401(k) Plan:
• Withdrawal/Rollover information given to employee
• Profit Sharing Plan:
• Employee notified of any distribution

Return of Company Property:

____ Identification badge
____ Keys and key cards
____ Equipment (Laptop PC, pager, cell phone, tools, etc.)
____ Credit cards
____ Books and other printed material
____ Other items, list: -------------------------------------------------------------------------------------------------------------------------------------------------

The terminating employee's forwarding address: ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

Completed by: -----------------------------------------------------------------------

Name: ------------------------------------------------------------------------------------ Position: --------------------------------------- Date: -------------------