Account Termination Request Form

Termination Authorization Request Form
Please give a very brief description of your request or issue
Enter the exact date that the user's account must be disabled. DO NOT leave today's date if you do not yet know the exact date.
Termination Time of Day *
Enter the time (EST) that the user's account must be disabled on the above date.
To what email address should the terminated user's mail be forwarded.
Which employees (if any) should have access to the terminated user's existing mailbox contents?
Which employees (if any) should have access to the terminated user's files and folders?
Data Transfer
Does data need to be transferred from the terminated user's workstation or shared folder?
Mobile Device Wipe *
Legal Concerns
To your knowledge, does this termination process relate to a significant legal of privacy concern?
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First Name *
Email *