Cessation of Duty Form	
1.   Employees details	
Full name		
Employee number		
Job title/Position		
Program area		
Forwarding details		
2. Employee status		
Permanent	                		[    ]  Full-time                                		[    ]  Part-time			
Temporary		[    ]  Full-time        	[    ]Part-time        	[    ]  Contract            	[    ]  Casual                                    	
3.   Actions	
Date of Cessation of Duty              /       /	
Revert to Casual         	[    ]  Yes              	[    ]  No	[   ] Other	
Reason for cessation:    	[    ]  Resigned      	[    ]  Dismissed       	[    ]  Retired      	[    ]  Transferred    	
	[     ]  Other  (specify)	
Abolish position		[   ]  Yes	   [   ] No	
3.   Leave entitlements	
Have all leave forms have been forwarded to the Manager or Payroll?		[   ]  Yes		 	[   ]  No   	
Are there any leave entitlements owing?          	[   ] Yes         		[   ] No	
Total amount of leave owing		
4.   Appointment expenses	
Are there any outstanding expenses owing to the employee, e.g. travel, accommodation, meals allowances, reimbursements?	[   ]  Yes         	[   ]  No	
Total amount owing 		

Cessation of Duty Form (Page 2)	
5. Authorisation	
Delegated Officer	
Job title	
	
Delegated Officer’s signature 
	Date        /      /  	
Other comments/action