Employee Termination Notification Form

Employee Termination Form (Do not synch to HS, client-facing)

Company Name*
Name of Terminated Employee*
Effective Date of Termination*
MM slash DD slash YYYY
Effective Immediately or EOD?*
- Immediately
- End of Day (EOD)
Does their email account need to remain active?*
- Yes
- No
When can their email account be deleted?*
MM slash DD slash YYYY
Who needs access to the account? (Include first and last name)*
Do you want an away message activated?*
Please include here the text for the away message:
Does their email need to be forwarded to another user?*
List the user who needs to receive these emails:
First Last
User Equipment*
Please note here any equipment assigned to the terminated user. If none, indicated N/A or None.
This form is being submitted by:*
First Last
Email of submitter:*
Today's Date*
MM slash DD slash YYYY