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Human  Resources
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Requirements for Separating and Retiring Employees

  • Temporary Appointment expiring and returning to work at Cal Poly?
    • Contact a Benefits Analyst at 756-5436 for impact on benefits.
    • Academic employees requesting early settlement must complete Form PR192: Early/Final Settlement Authorization. [word] [pdf]
  • Temporary Appointment expiring AND NOT returning to work at Cal Poly?
    • Complete Form PR300: Employee Separation Form [word] [pdf]
    • Contact a Benefits Analyst at 756-5436 for impact on benefits.
    • Academic employees requesting early settlement must also complete Form PR192: Early/Final Settlement Authorization. [word] [pdf]

  • Resigning?
    • Complete Form PR300: Employee Separation Form [word] [pdf]
    • Complete Form PR193: Tax Deferred Contribution from Final or Vacation Settlement Pay if you wish to have your tax deferred deduction withheld from your final pay [pdf]
    • Contact a Benefits Analyst at 756-5436 for impact on benefits.
    • Staff - Complete Form HR191: Employee Notice of Resignation [word] [pdf]
    • Academic employees - Submit letter of resignation to your Department Head/Chair
    • Academic employees requesting early settlement must also complete Form PR192: Early/Final Settlement Authorization [word] [pdf]
  • Retiring?
    • Complete Form PR300: Employee Separation Form [word] [pdf]
    • Complete Form PR193: Tax Deferred Contribution from Final or Vacation Settlement Pay if you wish to have your tax deferred deduction withheld from your final pay [pdf]
    • For details about the retirement process, see Benefits Forms and Guidelines
  • FERP Contract Ending?
    • Complete Form PR300: Employee Separation Form [word] [pdf]
    • If ending FERP contract early, submit a letter of resignation to your Department Head/Chair.

 



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Human Resources Department
California Polytechnic State University, San Luis Obispo
(805) 756-2236
humanresources@calpoly.edu

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