City of Bryan, Texas
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Final Paycheck Disposition Form
|Name: | | |Employee #: | |
| |(last 4 digits of soc sec #) |
|Position: | | |Dept: | |
|Termination Date: | | |
All final paychecks will be direct deposited or applied to your pay card.
Your final direct deposit voucher and W-2 form will be mailed to you.
To ensure we have the correct address on file, please state your mailing address below.
|Address: | |
Forward this signed form and your resignation notice/letter to your manager.
Please be sure to turn in your employee badge along with any other City-owned
property to your manager by your last day of employment.
|Employee’s Signature: | | |Date: | |
|Manager’s Signature: | | |Date: | |
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