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Information Resources & Communications

UCOP IT Services - Employee Separation/Account Cancellation

Use this form for Employees or Contractors separating from UCOP. It is used for cancelling network access, E-mail/Calendar, TSM, VPN, BlackBerry server access, and Corporate Systems Gateway accounts. For assistance, contact Technology Service Desk. Updates to services normally take affect within two working days after the form is submitted, unless otherwise specified.

Employee access is terminated on effective date. Any out-of-office message in place prior to the effective date will remain active for 45 days.

Required fields are denoted with a red asterisk (*).

*Name of person completing form:
*E-mail address of person completing form:

CANCELLATION:

Cancel this account? Yes
*Effective Date: (mm/dd/yyyy)
*Name:
*E-mail Address:
Comments/Notes:
You may print this form for your records prior to submitting.

       

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