University of Minnesota  Appendix

Employee Checklist (Layoff Severance Program for Civil Service and Union-Represented Staff Employees)


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Please use the contact section in the governing policy.

  1. Complete and sign the Layoff Severance Program Agreement (DOCX) and the Benefits Election form (DOCX).

  2. Return the Agreement and the Benefits Election form to your department.

    Your application must be handed in to your department head/chair by (1) the last day of your employment or (2) by the ending date of this program, whichever occurs first.

  3. Your department is responsible for certifying eligibility, determining years of service, and calculating the amount of severance pay. The department will obtain the necessary signatures on the Agreement and prepare the documents necessary for payout of the severance check.

  4. Sign the Release (DOCX) on your last day worked. (A Release signed prior to the last day worked will not be accepted.)

  5. Send the original Release to Employee Benefits. Your benefits under this program will NOT be paid until the signed Release has been received by Employee Benefits.

  6. If you have any questions, contact the Employee Benefits Service Center at 612-624-9090 or 1-800-756-2363, and press option 2.

NOTE: You will receive your severance payment no later than four weeks after your last day of employment, provided that we have received your signed Release in a timely manner.

Please follow the above steps in a timely manner to avoid a delay in your severance payment and/or continuation of your insurance coverage.