Leaver Form

Your Email

Enter your work email address. The service ticket will be logged under this account.

Leaver Details

First Name

Last Name

Office location

Please write the office/site the user is based at.

Employment Termination Date

The date when the user access is to be fully disabled.

Email Address

Enter the work email address of the user

Personal Email Address

Optional, user's personal email address

Access & Account Handling

Account Action Required

Check the options to action for this account

Disable account on leave date

Delete account after X days

Convert to shared mailbox

Maintain access temporarily

Email Access After Leave Date

Check if you would like any additional actions.

Block immediately

Auto-reply required

Select account deletion date

Out of Office message

Line Manager Confirmation

Manager Name

Please enter their Line Manager's full name

Manager Email

Please enter the full email address of their line manager

HR Contact Email (Optional)

HR Email address to notify (if applicable)

Desk Phone DDI redirection?

If their Desk phone needs to be redirected, please enter details here

Setup Email forwarding?

Please enter the target email.

Delegate One Drive/Google Drive?

If you would like their cloud storage to be delegated, please enter the target email here

Hardware and Equipment Inventory

Does the user have any company-issued equipment?

Laptop / Desktop

Mobile Phone

Tablet

Other

Other Hardware

Hardware Notes:

Please specify what should happen to the equipment (e.g., return to IT, reassign to another user, store onsite, courier required, etc.).

Software and Licensing review

Extended Permissions Check:

List any third-party systems the user has access to (e.g., accounting platforms, CRM systems, marketing tools, payment gateways, etc.).

Licensed Software:

List any assigned licensed software that requires deallocation or reassignment (e.g., Adobe, AutoCAD, Power BI Pro, etc.).

Additional Notes:

If you have any additional notes regarding this request, please mention them here.

I confirm that the information provided is accurate and complete to the best of my knowledge.

Leaver Details

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