Corrigan Moving Systems - Change/Departure Requests

"*" indicates required fields

Requested By

Name*

Email*

Enter Email Confirm Email

Employee Information

Please note - phone, email, login, and all other accounts will be disabled on the Lockout date and time. Archives are created and held for one year from this date.

Name*

First Last

Account Lockout Date*

The date you would like to prevent the user from logging in.

This field is hidden when viewing the form

Departure Date

Account Lockout Time*

Role

Phone

This field is hidden when viewing the form

Cancel cell service

Yes

N/A

Forward Calls To:*

Give Voicemail To:

Email

Please note, email account will be shut down 30 days after departure and all email archived.

Forward Email To:*

Give Email Access To:

Equipment

Please choose:*

Computer will be reused

Computer will be returned

Computer needs to be decommissioned

Who will receive the equipment*

Please coordinate the return of equipment with the Helpdesk.

Additional Information

Notes:

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