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NotificationofTerminationandorResignationApril 2013

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					                                                     Georgia Institute of Technology
                                      NOTIFICATION OF TERMINATION AND/OR
                                               RESIGNATION OF GT
                                          FOREIGN NATIONAL EMPLOYEE
Employee Name:
GT I.D. #:                   Department:
Present Immigration Status:            H-1B                     O-1                TN                PR
Authorized dates of employment:             to
Termination date:
                                                                                                            *
Reason for termination of employment:                            Termination                  Resignation          Other
          If “other”, please explain:

 This does NOT replace the Personal Service Form (PSF).
 If an H-1B or O-1 worker voluntarily terminates his/her employment, GT is not liable for the cost of return
  transportation abroad. However, if the employer terminates the H-1B or O-1 worker prior to the end of the petition
  validity period, for any reason, the department is required to pay reasonable costs of return transportation to the H-
  1B or O-1 worker’s last place of residence abroad.
 Employers should be cautious about characterizing a termination as a voluntary departure by the employee, where
  the facts of the situation might indicate that the employee had no choice in the matter. For example, a faculty
  member or researcher may be failing to produce as expected or may be involved in academic activities or practices that
  the employer finds unacceptable. In such circumstances the department may allow the employee to resign. While the
  employee’s departure in this circumstance is technically voluntary, the employee may still have a claim to
  reimbursement of costs of return transportation abroad.

DEPARTMENTAL INFORMATION
Department:
Contact Person:
Telephone:                               Fax:
E-mail:         GT Mail Code:

CERTIFIED BY:

Supervisor/Advisor:
                               (Name)                        (Signature)                                        (Date)

Department Chair:
                               (Name)                        (Signature)                                        (Date)

APPROVED BY:

Dean/Director:
                               (Name)                        (Signature)                                        (Date)

Please return to: Global Human Resources
                  Office of Human Resources
                  Georgia Institute of Technology
                  500 Tech Parkway
                  Atlanta, GA 30332-0435


*
    If employee resigned, attach a copy of the resignation letter and any other relevant documents



Last updated: February 4, 2013                                                                                           Page |1

				
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