Notification of Departing PI

To be completed by Research Dean, Department Chair or Departmental Contact
Name of PI leaving*
First Last
Title
Department*
Phone
Email
UF Departmental Contact (if preferred that we work through this individual rather than the PI)
First Last
UF Departmental Contact Email
Departure Date
Date Format: MM slash DD slash YYYY
Please check the following:*
- Going to another University
- Other employment (not a university)
- Retiring
- Deceased
- Other
Which University is the PI going to?
You selected "Other" above. Please describe:
Additional information:
Department Chair / Supervisor of PI
First Last
Chair/Supervisor Email

Providing this information enables our units to easily notify the chair/supervisor of issues that need to be addressed.