Page 1 of 1

IT Offboarding Form

Organization:

Full Name:

Enter the NLE's full name (First and Last)

Termination Date:

Should access be removed immediately, end of workday, or the morning following termination date?

Should access be removed immediately, end of workday, or the morning following termination date?
A
B
C

Should the user's email be delegated to anyone?

Should the user's email be delegated to anyone?
A
B

Should the user files be retained?

The contents will be zipped and transferred to the designated recipient.
Should the user files be retained?
A
B

Were they assigned a phone number and/or extension?

Were they assigned a phone number and/or extension?
A
B

Any Additional Notes:

Form Completed By:

Enter your first and last name.