First Name
*
Enter the leavers First Name
Last Name
*
Enter the leavers Last Name
Company Name
*
Enter your company name
Email address
*
Enter the leavers email address
Device Login Name
Set up mail forward or give full access to a user?
Forward
Full Access
Name of user for forwarding or giving full access
Date for forward/access to be removed
Disable VPN/Remote Hosted Server Access?
Yes
No
End Date
*
Additional Information
Anything else we need to know
Authorised by
*
Authorisers Position
*
Authorisers Email
*