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Employee Clearance Form

This employee clearance form contains sections for clearance from various departments when an employee resigns or is relieved from an organization. It includes sections for clearance from the employee's department head, IT, finance, and HR. Each section lists items or access that need to be cleared and returned before final clearance is given. The final section is for HR clearance once all other departments have signed off and an exit interview is complete.

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100% found this document useful (10 votes)
31K views2 pages

Employee Clearance Form

This employee clearance form contains sections for clearance from various departments when an employee resigns or is relieved from an organization. It includes sections for clearance from the employee's department head, IT, finance, and HR. Each section lists items or access that need to be cleared and returned before final clearance is given. The final section is for HR clearance once all other departments have signed off and an exit interview is complete.

Uploaded by

Nneka
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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Employee Clearance Form

Name:
Designation:
Dept:
Joining Date:
Resignation Date:
Relieving Date:

CLEARANCE FROM DEPT HEAD


Sr. No. List of activities Status (Pending/ Completed)

Handing Over done to (Name):

Employee Signature: ____________________________________________ Date:__________

Signature of person to whom handing over was done: __________________ Date: _________

Signature of Departmental Head: __________________________________ Date: __________

CLEARANCE FROM IT
Sr. No List of items Status (Returned/ Not returned)
1.
Assets (S/W, H/W, manuals,Laptop) handled by employee

2.
ERP/CRM Access Disabled
3.
Mail Access Disabled
4.
Internet Access Disabled

Other Applications Disabled

Signature (IT): ______________________ Date:


CLEARANCE FROM FINANCE

Sr. No Item Name Remarks Signature


1 Loans/Advance
2 Travel Advance

Signatures: (Finance)_________________ Date: __________________

CLEARANCE FROM HR

Sr. No. List of items Status (Returned/ Not returned)


1.
Access Card Tokens Handed Over: ____
2.
Keys Handed Over: ____
3.
Identity Cards
4.
Other Accesses
5..
Mobil

CLEARANCE FROM HR (to be given only after obtaining all the above clearances and completion of
exit interview)

Signature: (HR) ______________________ Date: __________________

Address for further Correspondence:

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