Resignations, Retirements & Releases

Name of Employee Separating from the District*

Is the individual who is leaving a full-time employee at El Camino College?*

STOP: Please fill out the form designated for part-time employees:

Name of HR Service Partner*
If unsure, contact the HR Front Office to verify designated Service Partner (call ext: 3807) or email
Name of Person Completing Form*

Separation Information

Type of Separation*
Last day at work*
Last day on payroll*
Retirement start date*
IMPORTANT NOTE: Date cannot be the same date as the last day at work or last day on payroll.
If you have 10 years of full-time service or more at El Camino College, you are eligible to receive a plaque in recognition of your retirement. Please indicate if you would like to receive a plaque or not:*
Upload copy of resignation/notification letter or email*
No File Chosen
File uploads may not work on some mobile devices.
Do you want the Foundation to have your contact information to invite you to events? *

*** IMPORTANT TASK TO DO *** Remember to submit a time sheet to Payroll indicating how to charge days that fall between last day at work and last day on payroll.

** IMPORTANT ** PLEASE READ: The next field requires you to input your PERSONAL EMAIL ADDRESS. This can be your personal yahoo, gmail, hotmail, etc. email address. Do not input your ECC email or your supervisor's email address.

in case Payroll or HR need to make contact after the separation date
Mailing address to send future W2's to after separation*

Division Review

Division Review - separation accepted*

Area Review

Area Review - separation accepted*

President's Review

President Review - separation accepted*
Does separation require a public announcement?*

Board Agenda

Date to appear on Board Agenda*
Salary Schedule Type*

VPHR Review

VPHR Review - separation accepted*


Confirmed last day on ECC payroll*
Effective date of separation*
Date HR is clear to terminate in HRS*

HR Service Partner

Is termination a PERS position?*

*** IMPORTANT REMINDER *** Send MAR-1 Form to PERS employee.