Faculty Retirement Checkout Form

Faculty Retirement Checkout Form

– Eligible, Full-time Faculty –

BrighamYoungUniversity

If a faculty member isterminating employment rather than retiring, use the EMPLOYMENT TERMINATION CHECKOUT FORM, available online at contact Benefits Services, ext. 2-4715.

Name: ______BYU I.D. # ______

Retirement Date: ______Dept/College ______

____ Mail my W-2 to my mailing address listed on Route Y under Personal Information

STEP 1: FACULTY MEMBER – no later than THREE MONTHS prior to retirement, the faculty member should go to Benefits Services, D-240 ASB, ext. 2-4715, to initiate the retirement process.

____ Master Retirement Plan (complete forms)____ Outstanding Loans (DMBA/TIAA-CREF)

____ Medical/ Dental options____ Flexible Spending Account (FSA)

____ Life Insurance options____ Mailing Address (update information)

____ Savings Plans (DMBA/ TIAA-CREF)____ Copy of this completed form to Faculty Personnel

STEP 2: DEPARTMENT – no later thanONEWEEK prior to retirement:

I. AREAS – the department is responsible for contacting the following areas to inform them of the faculty member’s retirement date and to encourage the retiring faculty member to resolve anyoutstanding accounts:

____ Keys (ext. 2-5521)The department should coordinate the return/issuing of all keys

____Library/LRCs(ext. 2-5634 or 2-6061)Return all books/materials and pay any fines

____ Bookstore (ext. 2-2470)Return Bookstore department charge card, if one was issued to you

____ JP Morgan Chase Card (ext. 2-3872)Return corporate card to Travel Management Services, C-141 ASB

____ JP Morgan Purchasing Card (ext. 2-4702)Return purchasing card to Treasury Services, A-153 ASB

____ Accounts Receivable (ext. 3-6634)Resolve any outstanding accounts (e.g., tuition bills, etc.)

____ Remembrance Fund (ext. 2-6641)Notify of retirement date (if participating in Remembrance Fund)

____ Signature Card (ext. 2-7829)Notify the Signature Card Office of your retirement date and

arrange for payment of any outstanding charges

II. PROPRIETARYRIGHTS – the department is responsible for cancellingthe retiring faculty member’s procurement

access to the following:

____ CashNet system

____ eProcurement

____ Financial System

____ Research Grants and Contracts

NOTE: Post-retirement access to any residual faculty funds may be allowable, through department proxy only, for

up to 3 consecutive years immediately following retirement by proposal to the dean.

III. EQUIPMENT

____Equipment or suppliesReturn all equipment, software and supplies to department.If, in

(e.g., cell phones, laptops, tablets, computers, raresituations, a retiree is to retain any equipment,software or

Books, software, supplies, etc.) supplies, the “Authorization toPurchase or Transfer Equipment or

Supplies”form must be completed.

IV. DEPARTMENT: ______/ ______

(Authorized Signature) (Date)

STEP 3: EXIT INTERVIEW – faculty desiring to schedule an exit interview should contact Faculty Relations,

ext. 2-7017, D-341 ASB.

NOTE: The department should allow sufficient time to finalize arrangements (e.g., keys, part-time office space, release from all financialauthorizations and responsibilities, equipment, software and suppliesreturn,etc.) with retiring faculty. For questions regarding post-retirement employment and research activity, contact Faculty Relations, ext. 2-7017.

AAVP – Faculty 4/9/2013Original to Faculty Personnel, D-353 ASB; copy to College Controller