EMPLOYEE SEPARATION PROCESS INSTRUCTION SHEET：员工离职流程说明书

EMPLOYEE SEPARATION PROCESS INSTRUCTION SHEET：员工离职流程 说明 关于失联党员情况说明岗位说明总经理岗位说明书会计岗位说明书行政主管岗位说明书 书 EMPLOYEE SEPARATION PROCESS INSTRUCTION SHEET Attached please find the following three (3) employee separation forms. Please attach white copies of the forms to the terminating EAF 1. INFORMATION SHEET Purpose of the form - This form provides general information concerning the various City policies that would apply to an employee who is leaving City service. Under what circumstances is this form filled out? - This form would be filled out when a permanent, full-time, permanent part-time, or permanent-intermittent employee separates from the City through resignation, retirement, termination, or a reduction in the work force. Who is responsible for filling out this form? - Supervisor. Who signs the form? - Employee. What happens to the completed forms? - Original is sent to the Personnel Services Department, yellow copy retained by the department, and pink copy for the employee. 2. RESIGNATION/TERMINATION AND REQUEST FOR RETIREMENT REFUND Purpose of the form - This two-part form serves a dual purpose. All employees fill out Part One for resignation/termination purposes and Part Two concerns the refund of retirement contributions for permanent full-time employees. Under what circumstances is this form filled out? - All employees fill out Part One. Part Two is only filled out by permanent full-time employee who have paid into the City retirement system. Temporary/wages, permanent part-time and permanent-intermittent employees have not paid into the fund, and therefore are not eligible to receive a refund. If you have already vested in the retirement system, then please contact the Retirement Office. Who is responsible for filling out this form? - Employee (any information that the employee does not know can be obtained from the employee who handles payroll in your department). Who signs the form? - Employee and Department Head or his/her designee. What happens to the completed forms? - Original is sent to the Personnel Services Department, yellow copy is sent to the Retirement Office, and pink copy for the employee. 3. RETURN OF CITY PROPERTY CHECKLIST Purpose of the form - This form ensures that City property is returned or tuition reimbursement is paid back (pursuant to AO 6-11), when an employee leaves City services. Under what circumstances is this form filled out? - The supervisor would fill this form out to ensure that any permanent wages employee returns all the city property issued to him/her when the person leaves City service. Who is responsible for filling out this form? - Supervisor Who signs the form? - Employee, Supervisor, and Division Manager. What happens to the completed forms? - Original is sent to the Personnel Services Department, yellow copy is retained by the Department and pink copy for the employee. INFORMATION SHEET FOR EMPLOYEES LEAVING CITY EMPLOYMENT Employee Name (Print or Type) Effective Resignation/Termination Date INSURANCE COVERAGE - Your health, dental, and vision insurance expires on the last day of the month in which you ended employment. Your life insurance and/or long-term disability insurance expires on the day in which you ended employment. COBRA - Federal law has made continuation of health benefits available to employees and their dependents upon the occurrence of certain events. If you are eligible, you will receive an information/sign up packet in the mail. RETIREMENT OPTIONS - Please be sure to file a “Resignation/Termination and Request for Retirement Refund” form (559-621-7080). DEFERRED COMPENSATION - Contact Fidelity Retirement Benefits at 1-800-430-2363 for information regarding the disbursement of your funds. CONFLICT OF INTEREST STATEMENT - If you have filled out a Conflict of Interest Statement with the City of Fresno during the last fiscal or calendar year, it is on file with the City Clerk’s Office. You must, by law, fill out a form for leaving City services. Please contact the City Clerk’s Office at (559) 621-7650. RE-EMPLOYMENT POLICY - If you resigned voluntarily, you have the right to be considered for re-employment to any position in which you held permanent status, which you left in good standing, for a period of two years from the date of your resignation. Involuntary termination does not give you this right. You must apply in writing to the Personnel Department. Your name will be placed on a list for the positions you are eligible for and your name will be sent to the department(s) where an opening occurs. The City of Fresno is not obligated to re-hire you. Your resignation means that if you later are re-employed to this classification, you will be considered a new employee for seniority, vacation, and sick leave purposes and shall serve a regular probationary period. REINSTATEMENT POLICY - If you have been laid off due to a reduction in force, you are automatically eligible for re-hire to the classification you were laid off from, for a period of three (3) years from the date of your layoff. You will be placed in the next available position in your classification, in accordance with the policy stated in the Fresno Municipal Code. PERSONNEL RECORDS - Upon resignation/termination of employment, employee’s personnel files at the Personnel Department will be retained for a period of ten (10) years and then destroyed. Government Code 34090 outlines procedures for records destruction in cities. Please request any information before the 10 year period is up. Any request for copies must be done prior to this time frame. There is a charge for copies. EMPLOYMENT VERIFICATION - Should the City of Fresno receive any inquiry regarding your employment with the City, we will respond only with the dates of your employment and classification unless we receive authorization from you to provide additional information, including the reason for termination. Check one of the following choices: I hereby authorize the City of Fresno to release only my classification title and dates of employment. I hereby authorize the City of Fresno to release information regarding my employment including the reason for leaving, job performance, dates of employment and classification title. EXIT INTERVIEW - You have the opportunity to have an exit interview to talk about your resignation/termination. Please contact your department for further information. FINAL PAYCHECK - Your final paycheck will be distributed in the same manner as your previous paychecks on the payday following your last workday. I have read and understood the above information: Employee Signature Date Distribution: Original - Personnel Yellow copy - Department Copy Pink copy – Employee RESIGNATION / TERMINATION AND REQUEST FOR RETIREMENT REFUND FORM PART ONE: TO BE COMPLETED BY ALL CITY OF FRESNO EMPLOYEES LEAVING CITY SERVICE - - Employee Name (print or type) Social Security No. Department Original Hire Date Job Title Division Check one Probationary Effective Resignation/Termination Date $/Month Permanent FT Permanent Intermittent Permanent PT Temporary / Wages (The effective date of resignation/termination is the last day of active employment. Pay for accumulated vacation an overtime credit will be included in the employee’s last regular paycheck.) Check one or more of the following reason(s) below: Voluntary resignation from this position has occurred for the following reason(s): Personal, not job related Dissatisfaction Temporary Reduction in force / reorganization Abandoned job Medical Retirement Obtained other employment Specific or other reason Termination from this position has occurred for the following reason(s): Violation of rules or policies Dishonesty Falsification of employment application Absenteeism Good of the Service (see 2-16669(a); malfeasance, Poor performance misconduct, inefficiency, failure to perform duties of position. Probationary Incompetence (see 2-16669c)) Job eliminated Frequent tardiness Destruction of property Fighting Leaving work station Specific or other reason PART TWO: TO BE COMPLETED ONLY BY PERMANENT FULL-TIME EMPLOYEES This is a request for the forms required for distribution of my contributions from the: Fresno Employees Retirement System Name Police & Fire Retirement System Address Contact the Retirement Office at (559)621-7080 if you have any questions. City State Zip Employee Signature Date Appointing Authority Signature Distribution: Original - Personnel Yellow copy - Department Copy Pink copy – Employee RETURN OF CITY PROPERTY Employee Name (print or type) Job Title Department/Division Instructions: Prior to leaving City service, this form must be completed by the employee’s supervisor. The appointing authority, the employee and his supervisor should review and sign this form. All outstanding City property must be returned or otherwise accounted for prior to an employee’s final paycheck or retirement refund check being issued. ITEM YES NO N/A COMMENTS Tools Vehicles Uniforms Key(s) Sonitrol Card Badges / official identification Department files, records or reference materials Department manuals Removed personal items from locker / desk Parking permit / card Gas card Tuition reimbursement owed (refer to AO 6-11) Cell phone / pager PDA Laptop Other City property (list) Remarks: Employee’s Signature Date Supervisor’s Signature Date Division Manager’s Signature Date Distribution: Original - Personnel Yellow copy - Department Copy Pink copy – Employee