Requestor name:
Please provide the first and last name of the person filling out this form.
Please provide the email address of the person filling out this form.
Employee name:
Please provide the employee's first and last name.
Please provide the email address of the employee being offboarded.
Please provide the primary location this employee works from.
Please provide the time zone that the employee was working in.
Please provide the end date for the employee.
Please let us know at exactly what time you would like us to disable access.
Please let us know how you would like access to be terminated.
Please provide a forwarding email address (if applicable).
Who would you like us to give full mailbox access to (if applicable)?
Please state if the employee should be removed from distribution groups.
Please indicate whether the employee has been issued a computer.
Will the computer be repurposed for another user or retired?
Please leave us a note here if there are any other requirements that were not mentioned above, or if you would like changes made to this form.

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