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					                            NOTICE OF RESIGNATION
                               Iowa State University

Last day of work:

Reason for leaving:

                        Retirement

                        Accepted Other Employment
                        Accepted Academic Position
                        Education/Return to School
                        Graduation
                        Military Service
                        Personal
                        Non-competitive Salary
                        Spousal/Partner Employment
                        Other

Comments:




Forwarding address:




Terminal Leave Info (to be provided and/or verified by employing unit):

                           hrs. regular vacation
                           hrs. converted vacation
                           hrs. sick leave (retirement only)


Employee’s signature:

Date:

Please return completed form to your supervisor.

Rev. 09/09

				
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