ICT - Offboarding a User

Requestor information

Use this form to let us know when a user leaves your organisation.
If your issue is urgent, you can call us directly on 1300 736 991
Your name *

please ensure you are authorised to manage users
Your email address *
Exiting user information
Full name *

if user has a preferred name please add details to comments section
Manager's email address *
End date End date * / DD / MM YYYY
Forward user's email address to

forwarding address or leave blank if not required
Any extra requirements or instructions for this user?

eg: URGENT, please cancel access immediately
Cancel and return to Veris ICT Division