Employee Termination Form

Employee Name: *

First

Last

Official Date and Time of Termination:

Date

Time

Time is when access should be revoked to all company network resources.

Do the terminated user's e-mails need to be forwarded to another user?

Does anyone require full access permissions to the current mailbox?

This permission permits viewing and management of the existing mailbox within Outlook as a secondary mailbox for defined users.

Does the terminated user's mailbox need to have an auto-reply configured for new e-mails?

The auto-reply text will go into effect after the user's termination time, specified above, has passed unless otherwise indicated.

Does any other equipment in the office need to have relevant user data removed (i.e. copier address book, company iPad, etc.)?

Please indicate the equipment to be modified, and if possible, set aside for onsite work.

Additional Notes:

Please include any additional relevant notes that may be needed to facilitate termination.

Name of requestor: *

First

Last

Please include your name.

Requestor's e-mail address: *

Please include your e-mail for a confirmation e-mail following form submission.

Company name: *

Please state your company's name.

Signature: *

Employee Termination/Resignation Form