ࡱ> XZWO bjbjςς 0Vee DD, 2@0$4"$\ssss"s:fo 튢L m0 .F%F% F% `$0T"v$$$$$$ ssssF%$$$$$$$$$D O: TERM PORTLAND COMMUNITY COLLEGE Employee Separation Notice HUMAN RESOURCES DEPARTMENT ID Name Last First MI Effective Date: ___ Retiring/Resign/Terming from position, but remaining at college as  FORMCHECKBOX  Casual or  FORMCHECKBOX  PT Faculty STATUS CHANGE (check one) - Please attach employees written resignation, if provided.  FORMCHECKBOX  Resignation - voluntary Reason Code : if reason is not listed, please explain _____________________________________________  FORMCHECKBOX  Termination involuntary Reason Code : if reason is not listed, please explain _____________________________________________  FORMCHECKBOX  Retirement Supervisor (print name) __________________________________ Dept ORG __________________ Supervisor Signature Campus Telephone Completed by _________________________________________ Date Completed _____________ Email signed completed form to HRIS-group@pcc.edu OR send/sign via PCC PASS process Complete a Clearance Certificate, available in MyPCC by clicking on C in Forms Channel Send final timesheet to Payroll (if applicable) Termination Reason CodesCodeDescriptionCodeDescription31Alien work auth expired0Other-Reason Unknown6Attend School15Other Employment3Better Benefits16Personal Reasons1Better Pay11Quit-Problem with Co-Worker2Better Schedule10Quit-Problem with Supervisor26Career Change29Quit-Problem with Work Assignment27Child Care Problem19Quit without Notice99Deceased28Refused Alternate Employment70Demotion56Resignation-see additional documentation21End of Funding80Retirement-Enhanced w/benefits76Failure to complete probation81Retirement-Normal4Family Relocation-Moved24Stay at Home (Leave Workforce)5Health Reasons96Terminated-missing required documents (i.e. I9)22Job Assignment Discontinued73Terminated-Excessive Absence20Job Complete95Terminated-Inactivity38Layoff/RIF-Lack of Funds74Terminated-Inadequate Perf39Layoff/RIF-Other72Terminated-Insubordination37Layoff/RIF-Program Terminated75Terminated-Job Abandonment7Military Duty71Terminated-Misconduct9More Challenge97Terminated-see additional documentation18Move to Independent Contractor25Transportation Problem92Never worked or paid14Unable to meet Perf Standards8Non-renewal of Contract57Voluntary Resignation35Not Returning from LOA30Work Conditions23Work for Self/Familyh:/hr/hris/forms/term.doc 10/20/22 !%Z\^_em{   & ' ( ) 3 5 øxf"jthPh 5CJU"jhPh 5CJU h 5CJjh 5CJUhgCJaJh\h CJaJh CJaJh h CJaJ h{>*CJ h{CJh h5CJ h5CJ h5>*hbh5 h55CJ h55 h55CJ$%@[\5 6 ] 1 2 f $d&dNP9 & Fdh>T oTfgd dhgd gd{gd $a$5 6 D O R  ! / 0 1 2 > ? 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