Software Request Form

IT Leavers Form
Full Name of Leaver*

First NameLast Name
Last Working Day (All access will be removed on this day)*

DayMonthYear
Date
IT equipment to be returned*

Laptop + ChargerMobile PhoneDesktop Screen/sHeadphonesIpad/s + ChargerDocking StationKeyboard or MiceOther
How will equipment be returned*

OfficePost (*Only select post for those that work outside of the UK)
Do we need to apply a forward on this Mailbox*

NoYes
End date for forward (if applicable)

DayMonthYear
Date
Who to forward mailbox to
Remove Access

SalesforceDocusignPardot
Remove from staff list groups in Salesforce*

NoYes
Can all data for user be wiped (if mailbox will be forwarded data will be kept)*

NoYes
Out of office (This requires a licence which costs the company)
End date for Out of Office*

DayMonthYear
Date
Additional information needed
Requested by
Date

DayMonthYear
Should be Empty:

IT Leavers Form