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Human Resources
University of Mississippi

Separation of Employment

An E-Form 3 provides notification from the department to Human Resources that the employee is separating from employment within your department. Upon receipt, the Benefits team will provide benefit-related details to the employee.

The supervisor is responsible for completing and submitting the “Separation Notification” and completing the Exit Checklist no later than the employee’s last day of employment within your department.

Details for Separation Notification

  • Along with submitting this notification, I acknowledge that I am aware that this notification will be delivered to various entities in order to assure access and/or privileges provided to the listed employee by my department will be removed on the effective date of the separation.




Related Forms:  Exit Checklist

Related Policies:

Separation of Employment (Employee Resignation)

Terminations (Offboarding)