Outduction Form

There are various matters that need consideration when a member of BMS personnel is going to leave, whether by the person leaving, by their Line Manager/Principal Investigator, or by the Departmental Office.

Please indicate from the list if you have completed the following items:

First name: (required)

Last name: (required)

Title: (required)

Expected last day in the Department (dd/mm/YYYY):

Please take time to answer the following questions (where applicable). Have you:

Enjoyed your experience with the Department:

1. Yes
2. No

Submitted a letter of resignation to your line manager or departmental manager? (only necessary where a person is leaving before end of contract date)

1. Yes
2. No
3. Not Applicable

Returned any keys belonging to the Department:

1. Yes
2. No
3. Not Applicable

Returned all door/locker keys to Julie Chapman:

1. Yes
2. No
3. Not Applicable

Returned any SALTO cards?

1. Yes
2. No
3. Not Applicable

Returned your radiation badge?

1. Yes
2. No
3. Not Applicable

Cleared out your office desk/filing cabinets and bench area? (Note any keys for filing cabinets should be left in the unlocked drawer)

1. Yes
2. No
3. Not Applicable

Emptied any glassware/cold storage area belonging to you?

1. Yes
2. No
3. Not Applicable

An alternative email address where we can contact you in case needed:

Arranged re-direction of your correspondence address:

1. Yes
2. No
3. Not Applicable

Please give a forwarding correspondence address if you have one:

Your name will be automatically removed from the Departmental webpages and email circulation lists after the date of departure. Thank you for taking the time to complete this Outduction form.