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.