Separation Form HR-BEN-073 Section 1 - Information and Instructions The purpose of this form is to inform your agency of your resignation or retirement from the MTA - ucm mtabsc 2026

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How to use or fill out Separation Form HR-BEN-073 Section 1 - Information and Instructions

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by filling out your personal information in Section 2. Enter your BSC ID, full name, and contact details including phone numbers and email address.
  3. Indicate your reason for separation by checking the appropriate box under 'Agency/Dept.' Choose from options like Resignation, Normal Retirement, or Disability Retirement.
  4. In Section 3, declare your retirement or resignation by entering your job title and effective date. If applicable, provide details of your new employer or agency.
  5. Review all entered information for accuracy. Once confirmed, sign the form in Section 4 and request your supervisor’s signature as well.
  6. Submit the completed form to your Department Supervisor directly; do not forward it to BSC.

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