Remove PIDS User Form
Please complete this form to have users removed from your program's PIDS account. Only an administrator should complete this form. Please email the WI Pyramid Model Data Coordinator at pmdata@wiaimh.org to have a user's role changed but not remove the user. All submissions will be authenticated by personal communication with the program PIDS administrator.
Program name
*
User first name, last name and email address to be removed
*
Reason for removing the user
Left program
Changed roles at the program
Other
I am the administrator to the above program and have permission to add and remove users to my program's PIDS account.
*
Yes
No
Name of program administrator completing this form
*
Email address of program administrator completing this form
*
Submit
Should be Empty: