User Access Removal - Student Affairs

Student Affairs User Access Removal

** All termination requests will need to go through Human Resources first before submitting this form. **

User's Name(Required)

First Last

Date access should be removed(Required)

Is the user a Student Employee or Staff Employee?(Required)

Student

Staff

User's UIN(Required)

University Identification Number

User's NetID

User's Department(Required)

User's Group or Office(Required)

User's Job Title

Please specify any systems, applications, resources, folders, etc, that needs to be removed:

Click “Add” and complete the row for each additional access that needs to be removed.

Any additional information we need to be aware of?

(Indicate any unique needs or information.)

Supervisor's Name(Required)

First Last

Supervisor's Email(Required)

Supervisor's Phone Number

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