Human Resources
Separating & Retiring Employees
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Resigning
- Staff - Complete Form HR191: Employee Notice of Resignation [Word] [pdf]
- 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.
- 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
- Timelines and information about The Retirement Process
- 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]
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.
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]