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PHL Exit Checklist Template
PHL Exit Checklist Template
INSTRUCTIONS:
1. All employees leaving DXC Technology must completely accomplish this form, by ensuring all boxes are appropriately
checked and have corresponding valid signatures.
*Note: If item is not applicable to you, check “N/A” box and have your manager of function SPOC sign off. Ensure all boxes
under the last column are signed.
2. Please DO NOT FORGET to attach copy of your Government ID as part of the mandatory requirement.
3. After completing the form, SCAN and save in PDF format together with duly signed copies of your Resignation letter, Non-
Disclosure Agreement (downloadable from the DXC portal – Leaving DXC Philippines Employee Checklist page), online Exit
Survey confirmation email, and copies of emailed approval (i.e. from Payroll) as applicable.
4. Go to External HRConnect link https://dxchr.service-now.com/csp to register and submit your request. Attach all scanned
copies in PDF format. No need to physically submit documents to HRSS.
5. Acknowledgment or status update will be provided whether your submitted documents are complete or incomplete within
three (3) business days upon assignment of case.
6. For complete status, expect release of your Certificate of Employment within 5 business days.
Function / SPOC Clearance Items for To Do’s Cleared by In- Signature over
with Location and Checking by In- charge? printed name
Schedule Charge (Yes / if No, state of In-Charge /
reason) Date
1. Business Unit • Resignation letter (if Employee to obtain copy of Y
Manager or Immediate applicable) signed by resignation letter signed by N
Manager employee and Manager N/A
accepted by
Manager
• Exit / Termination a. For Voluntary resignation Done by
on Workday c/o (Resignation with Notice) - manager on-
Manager Workday termination must be time
done not later than 5 days Done late
prior effectivity of employee’s (indicate date):
resignation. Recommended
time for termination is within 5
business days post acceptance
of resignation letter.
b. For Immediate resignation or
Note: No need for Termination for Cause –
employee to surrender Termination must be done
HMO card within 24 hours of effectivity.
This document may be reviewed from time-to-time to reflect changes in accordance to DXC Technology’s business requirements. Management reserves
the right to alter, add, or delete information in this document as it deems appropriate and in accordance with applicable laws. Revised April 2018.
Clearance Checklist – Form A
Manager must do above action to
trigger cancellation of Amex card
(if applicable) and HMO account.
Php_____________
• Accountability for Manager to check if employee is
bonuses under a bonus/retention program,
(tick applicable type): and if any amount needs to be
recovered.
If with accountability, Manager to Y
Sign-on inform HRSS/Payroll via N
External HRConnect amount to Accountability:
be charged/credited to employee Php:_____________
before payroll cut-off date.
N/A
Email subject:
“Attention: Accountability of
Resignee <Employee Name>”
Retention / Hot Y
Skills N
Accountability:
Php:_____________
N/A
Language Y
Allowance N
Accountability:
Php:_____________
N/A
This document may be reviewed from time-to-time to reflect changes in accordance to DXC Technology’s business requirements. Management reserves
the right to alter, add, or delete information in this document as it deems appropriate and in accordance with applicable laws. Revised April 2018.
Clearance Checklist – Form A
Others (please Y
specify) N
Accountability:
Php:_____________
N/A
This document may be reviewed from time-to-time to reflect changes in accordance to DXC Technology’s business requirements. Management reserves
the right to alter, add, or delete information in this document as it deems appropriate and in accordance with applicable laws. Revised April 2018.
Clearance Checklist – Form A
5. CSS (Corporate • Proximity card / ID Employee to turnover items Y
Security Services) Badge to Security Office on site. N
For accountabilities, CSS to N/A
IPC - 4F, IPC, Mon-Fri, inform HRSS/Payroll via
9am-5pm External HRConnect amount to
Eton - 12F, Eton, be charged/credited to employee
Mon-Fri, 9am-5pm before every 20th of every
month. Email subject: “Attention:
Accountability of Resignee
<Employee Name>”
6. REF (Real Estate • Locker key/ Book key Employee to turnover items Y
Facilities) to GRE Office on site. N
Note: Employee with N/A
IPC - 11F, IPC, Mon- locker key must indicate For accountabilities, REF to
Fri, 9am-5pm locker number. inform HRSS/Payroll via
Eton - 12F, Eton, External HRConnect amount to
Mon-Fri, 9am-5pm be charged/credited to employee
before payroll cut-off. Email
subject: “Attention:
Accountability of Resignee
<Employee Name>”
bernadette.lazatin-
gomez@dxc.com
This document may be reviewed from time-to-time to reflect changes in accordance to DXC Technology’s business requirements. Management reserves
the right to alter, add, or delete information in this document as it deems appropriate and in accordance with applicable laws. Revised April 2018.
Clearance Checklist – Form A
• Calamity Loan Payroll to check if employee has Y
(if applicable) outstanding balance and indicate N
amount if any Accountability:
Php:__________
N/A
I understand that should I have any accountabilities to Enterprise Service (AP) Limited Philippine Regional Operating Headquarters
(ESAP) / Entserv Philippines, Inc., it is my responsibility to settle my obligations to the company. Furthermore, I authorize the
company to deduct the amount due from any or all of the following components of my final pay in accordance with applicable laws:
encashable leaves, retirement benefit, flexible benefit credits, and variable bonus, regardless of whether my separation was
voluntary or not. Should I be unable to settle my outstanding obligations, I understand the company may take corresponding actions
as legally permissible.
This document may be reviewed from time-to-time to reflect changes in accordance to DXC Technology’s business requirements. Management reserves
the right to alter, add, or delete information in this document as it deems appropriate and in accordance with applicable laws. Revised April 2018.
Clearance Checklist – Form A
This document may be reviewed from time-to-time to reflect changes in accordance to DXC Technology’s business requirements. Management reserves
the right to alter, add, or delete information in this document as it deems appropriate and in accordance with applicable laws. Revised April 2018.
Clearance Checklist – Form A