Follow the steps to complete the termination pay application.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by filling out your personal details in the designated fields including your file number, social security number, city, state, zip code, school, district, borough, license number, and employee telephone number.
3. In the 'Title' field, enter your job title followed by your name and address as shown on your official documents.
4. In the section requesting your reasons for termination pay, provide a brief explanation of your circumstances, whether resigning or retiring.
5. Indicate the effective date of your resignation or retirement in the designated field.
6. Sign and date the application where indicated to confirm your request for termination pay.
7. For members of the CSA, ensure that the provided 90-day notice of retirement or resignation is appropriately marked. If necessary, enter the date this notice was provided.
8. The immediate supervisor must complete and sign Part II, ensuring the notice requirement has been met.
9. Part III will be completed by the payroll secretary, who will verify your cumulative absence reserve and calculate your entitlement to termination pay.
10. After reviewing all sections, proceed to save changes, download, print, or share the completed form as needed.

Start your application process online today to ensure timely processing of your termination pay.