ANTELOPE VALLEY UNION HIGH SCHOOL DISTRICT

RESIGNATION NOTICE/SUGGESTED FORMAT
CLASSIFIED PERSONNEL
 

EMPLOYEE:                                                                                                                   SSN:                                                                      

JOB TITLE:                                                                                                                   SITE:                                                        

SHIFT REPORTING HOURS (ie: 7 am to 4 pm) :                                                                                                                

RESIGNATION EFFECTIVE DATE:                                                                                                                                            
Effective date should indicate the final  day you will be on the timesheet at close of your regular shift. Please allow as much notice as possible -  two weeks or more is preferred.  If retiring, it is recommended that you plan and coordinate your retirement date through CalPERS at least 90 days in advance.

REASON:  Check all that apply. This is a format suggestion- feel free to attach additional sheets as needed.
 

q        Retirement

q        Moving: Please change my address to the following for any required final correspondence such as pay checks, W-2 Earnings Statements, retirement information, etc:
                                                                                                                                                                                     

Address                                                                                     City                                           State                               Zip

New phone number(s ):                                                                                                                                             

q        Other:                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     

x                                                                                                                                                                                                    
Employee Signature                                                                                                                 Date

Send the original to the PERSONNEL SERVICES DEPARTMENT DISTRICT OFFICE and give a PHOTO COPY TO YOUR SITE SUPERVISOR.

CHECKLIST: There may be additional items to complete prior to your last day. See your site supervisor for a complete checklist:

q        Return site/office keys

q        Return uniform(s) and jackets.

q        Return any district-issued or district-purchased equipment/supplies

q        Do not attempt to delete, remove or alter any log-in name, password, document, folder or file of ANY kind whether contained in a district computer terminal or in a hard-copy file cabinet.  Your computer log in and password will be updated and removed by appropriate IT staff.

q        Remove all personal items from work area

q        Sign your site timesheet on your final day

q        Contact payroll for final paycheck directions - final paycheck will not be deposited via direct deposit.