This form will take approximately 5 minutes to complete.
* = Required Field
1. Company Name: *
2. Requester (Your) Name: *
3. User's Name: *
4. Request Fulfilled By Date (MM/DD/YYYY):
5. Request Type: * 5. Request Type: * Account Delete Account Disable Other
6. Block Sign-In? * 6. Block Sign-In? * Yes No Other
7. Do you want the user's email address to remain active and those emails to be forwarded to another employee?: * 7. Do you want the user's email address to remain active and those emails to be forwarded to another employee?: * Yes No
8. If yes, please list the name and email address for who should receive the forwards:
9. Do you want the user's entire Outlook Inbox and folders to be added to another employee's Outlook application for easy historical access? * 9. Do you want the user's entire Outlook Inbox and folders to be added to another employee's Outlook application for easy historical access? * Yes No
10. If yes, please list the name and email address for who should be given Outlook access:
11. Do you want another employee to have access to the user’s OneDrive? If yes, the employee will receive a direct link to access the information. * 11. Do you want another employee to have access to the user’s OneDrive? If yes, the employee will receive a direct link to access the information. * Yes No
12. If yes, please list the name and email address for who should be given OneDrive access:
13. Will the user's machine be reassigned to another employee or disposed of? (If disposed of, please work with the Service Desk to ensure the appropriate steps are taken to decommission the equipment.) 13. Will the user's machine be reassigned to another employee or disposed of? (If disposed of, please work with the Service Desk to ensure the appropriate steps are taken to decommission the equipment.) Reassigned Disposed
14. Any additional requests or questions?