Computer Account Termination Request

Complete this form to request the termination of a UAA employee computer account managed by IT Services, including Email, Exchange, and Active Directory.

Account Type:

Active Directory

Exchange

Check all that apply

Section 1 - Employee Information

Name:

The employee's full name

UA ID:

The employee's university ID number

Username(s):

All usernames associated with the account to be terminated

Last Date of Employment:

The date after which this account will be terminated

Department:

The department that this employee is departing from

Section 2 - Supervisor Information

Name:

Supervisor's full name

Phone:

A telephone number to contact the supervisor

Department:

The name of the department that the supervisor is a part of

Computer Account Termination Request

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