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Employee Exit form


Please submit this form as soon as you are aware of the employee exiting employment with the Office of the Chancellor. The form will be sent to Bill Russ and Dennis Carlson.


* all fields are required
Name of person filling out this form

Telephone number

Email adddress


Exit employee's name


Last work day for employee exiting employment

Exit employee's supervisor's name

Should the Novell Account be deleted?
yes No (If no, date Novell account can be deleted)

Should the GroupWise Account be deleted?
yes No (If no, date GroupWise account can be deleted)

Should the H drive data be deleted?
yes No (If no, date H drive data can be deleted)




Note: This employee will be deleted from all GroupWise distribution lists and the Lyris list server.

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