Please fill out this form for any terminated employees. Please do not send any sensitive data through this form.

Your Name*

In Case Additional Info is Required

Your Business Email*

Exact Date and Time Termination Should Take Place?*

Please allow up to 48 hours for termination scheduling.

Time*

:

User Info – Terminated User

Please fill in for the terminated user’s information.

Terminated User's Name*

(First, Last)

PC Asset Tag

(5 Digit Code Sticker on PC)

Ashworth Awards Actions:*

Check off complete.

AD User – Would you like to disable this employee's domain user?

ActivTrak – Would you like to remove this user from ActivTrak (Emp. Productivity Software)?

Terminated User Info – Email

Please fill in for the terminated user’s email information. PLEASE NOTE: EMAIL ACCOUNTS ARE NORMALLY DELETED AND/OR DISABLED UNLESS NOTED OTHERWISE.

Email Address

Would you like a forwarder/auto response for the email account?

Auto-Response Message:

User to transfer docs/alias to:

Additional Information (if necessary)

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