Leaving Upstate Employment - Separation of Service Form

Prior to your employment separation from Upstate, please complete the Employee Separation form. Once you complete and submit the form, it will be forwarded to your supervisor for approval.

To make a change or update a previously submitted separation form, when you are in your Employee Separations form, select the Request Form Back button at the bottom of the screen. This will bring you to the page allowing you to make updates. Once the changes have been completed, select Update Form at the bottom of the page.  The form will be forwarded to your supervisor for approval of the change.

Please refer to the UW E-07 Employee Separation Policy.