Employee Offboarding HRLTCP "*" indicates required fields LinkedInThis field is for validation purposes and should be left unchanged.Your InformationName* First Name Last Name Email* ℹ️ Important Notice — Data ProcessingEmployee offboarding involves data processing activities such as file archiving, email migration, and account data preservation. Per Section 1.3 of our Managed Services Agreement, data processing, exports, and archiving are billed separately from standard managed services.For full details, please review our Terms of Service.Employee InformationDepartment*PharmacyBillingPrior AuthorizationCustomer ServiceDeliveryAdministrationOtherName* First Name Last Name EmailThis is to uniquely identify the employee.Disable all access and change passwords* Immediately Schedule for later Disable on Any time preference for thisWe are assuming the end of day unless specified otherwise.Setup email forwarding* Yes, forward email No, it is not needed Stop forwarding on RecipientsPlease specify if it's a single person or multiple users.Employee Mailbox access* Yes, mailbox will need to be accessed No, no one needs to access the mailbox Stop mailbox access on List people that need to be given access to the mailboxPlease specify if it's a single person or multiple users.Employee computer access* Yes, others will need to logon as the user No, disable the network account Stop computer access on List people that will need temporary accessAutomatic email response* Yes, setup automatic reply No, no needed Disable auto response on Email auto response textIf someone emails the employee after they are gone, would you like automatic response?Employee file access* Yes, employee files should be accessible to other employees No, preserve the files but don't give anyone access List people that will need access to employee filesMore informationPlease include any special requirements.FileAccepted file types: bmp, jpg, gif, png, txt, csv, pdf, docx, doc, xlsx, xls, log, Max. file size: 5 MB. This field is hidden when viewing the formTicketHudson Valley IT TicketConsent* I have read, understood, and agree to the Terms of Service. I am authorized to submit this request on behalf of my organization.Review Terms of Service Δ
