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

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The document is a Pre-Exit Clearance Checklist for GSA Federal employees departing due to resignation, retirement, or transfer. It outlines the steps employees and supervisors must follow to ensure all government property is returned and financial obligations are settled at least ten business days before separation. The checklist includes items related to travel vouchers, benefits termination, equipment return, and insider threat reporting. Employees must certify completion of these tasks to avoid potential indebtedness to the government.

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Click ‘Get Form’ to open it in the editor.
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.
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.
For items requiring supervisor certification, ensure both you and your supervisor provide electronic signatures confirming that all government property has been returned.
If any checklist items are incomplete, document the reasons in the additional information section at the end of the form.

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Versions	Form popularity	Fillable & printable
2021	4.8 Satisfied (135 Votes)
2019	4.4 Satisfied (166 Votes)

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