IT Leavers Form
Full Name of Leaver
*
First Name
Last Name
Last Working Day (All access will be removed on this day)
*
-
Day
-
Month
Year
Date
IT equipment to be returned
*
Laptop + Charger
Mobile Phone
Desktop Screen/s
Headphones
Ipad/s + Charger
Docking Station
Keyboard or Mice
Other
How will equipment be returned
*
Office
Post (*Only select post for those that work outside of the UK)
Do we need to apply a forward on this Mailbox
*
No
Yes
End date for forward (if applicable)
-
Day
-
Month
Year
Date
Who to forward mailbox to
Remove Access
Salesforce
Docusign
Pardot
Remove from staff list groups in Salesforce
*
No
Yes
Can all data for user be wiped (if mailbox will be forwarded data will be kept)
*
No
Yes
Out of office (This requires a licence which costs the company)
End date for Out of Office
*
-
Day
-
Month
Year
Date
Additional information needed
Requested by
Date
-
Day
-
Month
Year
Submit
Should be Empty: