Separation/Transfer Request Form

Requestor Full Name*

Requestor Email*

Request Key Words*

3-4 Key words to help you search for this request once submitted using (ctrl+F)

Partner Unit*

Select

Division*

Select

Department

Type your department below or scroll through the dropdown list. Departments are alphabetical by Unit.

Select

Employee Full Name*

Employee 95#*

Employee Email*

Supervisor Full Name*

Employee Type*

Select

Is this Employee a Supervisor?*

Yes

Replacement Supervisor Name

If all employees will not move to the same replacement supervisor, please provide note in additional information or upload document with multiple supervisor changes.

Does the student have another job on campus?*

Yes

Which job needs to be terminated?*

Is ALL UO employment ending?

Yes

Is the employee transferring to another department?*

Yes

Which department?*

End Date*

Additional Information

Provide the reason for separation or transfer. (E.g. Leaving the University, Graduation, All employment at the University ending, etc.)

Provide any additional information regarding this request if needed.

File Upload

Attach the employee email or letter of resignation. Not needed for students.

Drag and drop files here or

How was your Experience using this Form Today?

To leave detailed feedback, click here.

Select

Send me a copy of my responses

Privacy Notice|Report Abuse