Us Army Garrison - Miami Out-Processing Checklist

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US ARMY GARRISON – MIAMI OUT-PROCESSING CHECKLIST
THANK YOU FOR YOUR SERVICE TO THE USAG-M & USSOUTHCOM!
PLEASE COMPLETE OUR OUT-PROCESSING CHECKLIST TO TURN-IN ALL EQUIPMENT/BADGES & PAPERWORK.
(Please be sure this form is initialed and dated at each step.)
LAST NAME:
FIRST NAME:
ORGANIZATION:
LAST
WORKDAY:
FORWARDING ADDRESS (Street, City, State & Zip Code):
Directions: This checklist is designed to assist USAG-M employees in clearing U.S. Army Garrison-Miami when transferring,
separating, or retiring. When out processing, civilian employees are in duty status. Items that do not apply should be annotated as
“NA”. When all stops have been initialed and dated, the out-processing employee is requested to
return the original checklist to
your supervisor for RPA documentation. Employee is advised to and keep a copy.
STEP
ACTIVITY
WHERE
POC
INITIALS
AND DATE
Obtain Copy of Checklist from one of the following:
1
your supervisor, the Workforce Development Office RM 2056, or the Workforce Development Website
(Check One)Retirement: ___ Resignation: ____ Expiration of Appointment: ____ LWOP:______ Transfer: ____
2
New Agency _________________________________________________________________
Other: ______________________________________________
Army has developed a confidential exit survey to study the reasons why people leave Army service voluntarily. Please
3
complete this brief, voluntary survey, available at
Provide Other comments, if any:
TO BE COMPLETED IF YOU ARE SEPARATING FROM EMPLOYMENT WITH THE DEPARTMENT OF DEFENSE: I
4
have read the below the “ Post-Government Service Employment Restrictions For Military Personnel E-1 Through O-6
And Civilian Personnel Paid At Or Below ES-4, Or Equivalent” located at:
I have understand if I have additional
questions concerning post employment conduct restrictions, I may contact the Ethics Officer at 437-1734.
IF YOU ARE NOT LEAVING DOD, CHECK THE BOX BELOW, INITIAL AND DATE AT THE LEFT.
This requirement does not apply to me as I am not leaving employment with the Department of Defense
ASA LAN/Telephone Account
HQ SOUTHCOM, Help
SOUTHCOM Bldg
5
Desk
Defense Travel System Account
9301 NW 33
Street
Julia Mitchell
TH
6
Room# A1099 or B1024
305/437-0739
Property Book (Warehouse)
8900 NW 35
Lane
Larry Brown
th
7
Suite 150
305/437-2702
Property Book (Supply)
8900 NW 35
Lane
Able Dela Paz
th
8
Suite 150
305/437-2824
Army Contracting Agency
Services Building, Room
Joseph Chun
9
(Government Impact Card)
1029 (Behind the Gym)
305/473-2681
IT Equipment (Turn in Laptops, Cell Phones,
Services Building,
Alex Martinez
10
Second Floor, Room
305/437-1431
E2097
AF Civilian Payroll (Turn in Government Travel Card, DFAS related
Services Building,
Carlos Rodriguez,
11
issues)
Second Floor, Room
CSR, 305/437-
E2028
2643
USAG-M OUT-PROCESSING FORM
UPDATED 11/4/13
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