Staff Leaver Form

This form is to be sent to members of staff who are ending their employment

Name*
First Last
Job title*
Notice given date*
Last date of employment*
Email address (personal)*

To send your P45 and final payslip to
Remaining Annual Leave*
Please check HR system
Please discuss with your line manager*
Do you have any FFLM equipment*
Laptop, Screen, Keyboard etc
Would you like the equipment*
Laptop, Screen, Keyboard etc
Date you wish Courier to collect equipment*
Address
Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

This needs to be completed to confirm where FFLM equipment should be collected from
FFLM equipment to be returned*
Do you have a box to return the items*
How many boxes do you need?*
Size of boxes you require*
Consent
I hereby give my explicit consent to the processing of my personal data in accordance with the Data Protection Act 2018 and the Privacy Policy