Emp Retirement

Humble ISD Employee Notice of Retirement

All questions on this form are required, incomplete forms will not be accepted.

Employees relocating after retirement must log into MUNIS ESS to update their address.
W-2 forms will be mailed to the address in MUNIS.

Contract employees retiring mid contract or after the resignation deadline must also complete the
Release from Contract Request form found on the HR Forms site.

Last Name *

First Name *

Employee Number *

CAMPUS *

Position or Subject *

Has principal/supervisor been notified: *

Yes

No

LAST DAY TO WORK * +

If you are a contract employee, have you completed the Release of Contract form: *

Yes

No

Not Applicable

How would you rate your experience in Humble ISD in regard to the following? *

	Excellent	Good	Fair	Poor
Working relationship with your supervisor	Excellent	Good	Fair	Poor
Adequacy of job orientation and training	Excellent	Good	Fair	Poor
Evaluation procedure	Excellent	Good	Fair	Poor
Employment benefits	Excellent	Good	Fair	Poor
Communication within the district	Excellent	Good	Fair	Poor
Overall experience with Humble ISD	Excellent	Good	Fair	Poor

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EMPLOYEES RETIRING BEFORE THE END OF THEIR CALENDAR YEAR WILL RECEIVE THEIR FINAL PAYCHECK DURING THE NORMAL PAYROLL CYCLE. BENEFITS WILL END THE MONTH OF RESIGNATION.

Click on the link below for information on the continuation of benefits coverage after employment.

Continuation of Benefits Coverage After Employment

Please check below. *

I have received and understand the information on Continuation of Benefits Coverage After Employment.

Employees completing their work year may continue current benefits through August 31. (CHOOSE ONE OPTION) *

Yes, I want to continue my current benefits through August 31

No, I do not want to continue benefits

Final Paycheck Instructions (CHOOSE ONE OPTION) *

Continue paychecks through end of my regular pay cycle.

Payoff my salary in a lump sum. Insurance premiums will be deducted from my last check if continuing coverage was chosen

If you selected a salary payoff above, select a date for your payoff check below (CHOOSE ONLY ONE):

June 28 - Available until June 7 only

July 31

Any changes to the Final Paycheck Instructions or Salary Payoff Date after this form has been submitted, must be made in writing to the Personnel Office.

Submitting: Please print a copy of this form for your records before clicking on Submit. *

Checking this box and pressing "Submit" affirms that I am submitting accurate information, and I understand that a copy of this notice will remain in my personnel file at the Humble ISD Human Resources Department.