Protected: Offboarding form – ELC

We will complete all requests as soon as possible.
Your Name*
Full Name
Email*
Equipment to be returned on
MM slash DD slash YYYY

We will complete all requests as soon as possible. If you do not wish the account to be made active until a certain date, please add details in the special requests field.
How will the equipment be returned
- Mailing
- In Person
User’s Termination/Contract End Date
MM slash DD slash YYYY

Last working day of the employee
Termination of Access
MM slash DD slash YYYY
User's Name*
First Last
Delegate access for email to:
Separate emails with a comma (,)
What equipment has to be returned?
- Select All
- Cellphone
- Laptop
- Mouse
- Monitor
- Keyboard
- Laptop dock
- MiFi
- Fob key
- Credit card
List of Distribution Lists to be removed from
- Select All
- ELC Leadership Team
- ELC Gala
Comments or special requests
NOTE: A copy of this form will be sent to Juanita Lee
Email
This field is for validation purposes and should be left unchanged.