Employee Offboarding Form

Your Name*
First Last
Please fill out the Departing User's information below:
Name*
First Last
Company*
Email Address*
Employee Termination Date*
Date Format: MM slash DD slash YYYY
Time we should change passwords and revoke all access*

: HH

MM
Convert Mailbox to Shared?
- Yes
- No
- Unsure
If yes, who should we forward the email account to and that will have access to the Shared Mailbox?*
Begin Forward Date*
Date Format: MM slash DD slash YYYY
Notes
End of Forward Date*
Date Format: MM slash DD slash YYYY
Who should get access to the user's folder?*
(My Documents folder etc)
Additional Notes:
Phone
This field is for validation purposes and should be left unchanged.

Please fill out the Departing User's information below: