Leaver Request

Please call us on 01625 613633 or email [email protected] for help with this form

Indicates a required field.

Form completed by *

On behalf of *

Position in organisation *

Email address *

Leaver's first name *

Leaver's last name *

Date of Departure *

Time of Departure *

Forward email to

Provide mailbox access to

Out of office auto response

Change password? *

Disable user account? * (Please note sign in will be blocked until account is re-enabled)

Erase mobile device?

Backup to shared mailbox?

Remove from all distribution groups?

Revoke VPN Access? (if granted)

Remove Office 365 Licence? (if applicable)

Backup user's data from user's device to file server storage?

Any additional information?