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GSA Form 1655 "Pre-exit Clearance Checklist" - TemplateRoller-2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering your name, effective date of separation, and supervisor's name in the designated fields. This information is crucial for tracking your clearance process.
  3. Review each checklist item carefully. For each applicable item, mark it as completed by adding your initials and the date next to it. Ensure you address all financial obligations and property returns.
  4. For items requiring supervisor certification, ensure both you and your supervisor provide electronic signatures confirming that all government property has been returned.
  5. If any checklist items are incomplete, document the reasons in the additional information section at the end of the form.

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