School of Medicine Office of Faculty Affairs

Administrative Checklists: Faculty Terminations

  1. Completed Employee Record (ER)
  2. Resignation letter
  3. If non-renewal, attach copy of non-renewal letter
  4. Partial month pay calculation (if applicable)
  5. Forwarding address
  6. Completed University of Pittsburgh Residency Certification Form/Address Change only if not changed via portal prior to the termination date 

THE COMPLETED EMPLOYEE RECORD (ER) MUST BE SUBMITTED WITH ORIGINAL AND ONE COPY OF ALL SUPPORTING DOCUMENTATION