Departing employees should follow this checklist when departing from the Center for Healthy Minds.

CHM Employee Departure Checklist 

Directions for Completing the Checklist 

• Click the DocuSign link above to navigate to the CHM Employee Departure Checklist PowerForm
• Enter your first and last name & work email address
  • You do not need a DocuSign account to fill out this form
• Complete the form 
  • If you need to finish the form at a later date, please click the Finish Later button. This will save your progess and you will receive an email with a link to your unfinished form to complete at a later date.
• When finished, click Submit. 
  • HR (Lisa Wesley - lawesley@wisc.edu) will automatically be notified that you have completed the form.

NOTE: Below is a preview of the information on the checklist. 

Faculty and staff often have questions when leaving their position with the University of Wisconsin-Madison. We hope you find this document helpful in addressing your questions. If you require further information, please contact Lisa Wesley, CHM Human Resources, at lawesley@wisc.edu or 608-262-0196.

Resignation/Retirement Notice

Make sure your supervisor has your resignation/retirement in writing (if you have not already done so). Your letter or email should include your last day at work and, if different, your estimated last date paid. Your last day paid must be verified with Human Resources.

Leave Balances and Payout: Consult with Human Resources as soon as possible regarding your leave balances. Most employees who resign or retire may elect to use accrued vacation, vacation carryover, ALRA, and floating and personal holidays to extend the end date of their appointment or receive a lump sum payout of accrued leave at termination (this does not apply to employees who are laid off or non-renewed). When employees move from one appointment to another within UW-Madison, any current vacation earned during the calendar or fiscal year transfers to the new leave-eligible appointment. Leave in a banked or ALRA account also transfers to the new position. For movement to any leave-eligible position within UW-Madison, the new hiring unit must accept vacation carried over from a prior year and/or banked leave hours. Leave balance use and payouts may vary by employment type.

Please review the following page if you are transferring to another state agency https://hr.wisc.edu/benefits/qualifying-life-events/employment-changes/transfer-to-a-state-agency/

Benefits:

Resignations - Detailed information regarding benefits upon termination can be found at: https://hr.wisc.edu/benefits/qualifying-life-events/employment-changes/benefits-at-termination/. Health insurance premiums are generally paid in the month they occur. Your employment benefits information will be sent by the UW-Madison benefits office (not CHM HR/Payroll). If you would like to plan for continuing or converting your coverage, please contact a UW-Madison benefits specialist before terminating your employment at: 608-265-2257 | Fax: 608-265-1456; or E-mail: benefits@ohr.wisc.edu.

If you transfer directly with no break in employment from one UW System institution to another, your benefits will automatically transfer with you (the University of Wisconsin is considered one employer). Transferring from one employment type to another may require additional action.

If you are transferring to another state agency, please see the following page for reference https://hr.wisc.edu/benefits/qualifying-life-events/employment-changes/transfer-to-a-state-agency/

Retirements - Detailed information regarding benefits upon termination can be found at: https://hr.wisc.edu/retirement/

By Last Working Week 

• Enter leave (Exempt staff) of your time and leave (Non-Exempt staff) following procedures for recording time and/or absence previously established. Please remember to enter all future leave through your last day to be paid
  • If you are using leave time to extend your end date, you must verify with Human Resources that you have enough leave available to extend to your desired end date.
• If you were a Scientist/Researcher complete a CHM Alumni Survey in order to be added to the Alumni page on the CHM website (optional). 
• Submit all expense reports and have them fully approved before your end date in order to ensure proper reimbursement. For assistance, contact Debra Dawidziak at chm_purchasing@chm.wisc.edu.
• If you are the Principal Investigator (or delegate) of one or more grant rewards, please confirm that you have no effort tasks in your Employee Compensation Compliance (ECC) work list prior to your last working day. For assistance, contact Alyssa Gerarden at agerarden@wisc.edu. 

By Final Working Day

• If your home or email address is changing, update your contact information in the MyUW Portal and provide your future contact information to Human Resources specialist Lisa Wesley at lawesley@wisc.edu. 
  • This is important so any future correspondence, including tax forms, are sent to the correct address.