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Termination Notification

This form needs to be filled out when an employee is leaving Graceland's employment. The supervisor will be responsible for filling it out. It will notify Human Resources, Facility Services, and ITS so that the appropriate steps can be taken for security purposes.
Fields in red are required.

Your name:

    
Your Email address:

  
Employee's ID:

  
Employee's Name:

  
Employee's Last
Day at Work:

  
Date CARS access
no longer needed:

  
Network/Email end date:

   (can't be earlier than CARS end date but can be later)
Employee's Phone Number:

  
Will employee be replaced?

   Yes No
Supervisor's Name and Phone Number:

  
If this employee is transferring
to another office on campus-which office?

 
Comments: