ITS Account Cancellation Form
Network
Email/Outlook
VOIP
Effective Date:
Colleague Informer Doc e Scan
Remote Access
Employee ID#
Last Name:
First Name:
Middle Initial:
Title:
Department:
Building Location:
Room Number:
Phone Number:
Extension:
Have you ever taught a course using Sakai at Durham Tech or are you a current student? Yes No
Will you continue to work at Durham Tech in another capacity? Yes No
Phone forwarded to:
End date:
Current voice mail forwarded to:
All future employees that use this extension will receive
a new voice mailbox. This one will be erased at this
time.
Email forwarded to:
End date:
Contents of Computer Hard Drive and/or H Drive Transferred to:
Approval Chart
Position
Name
Date
Immediate Supervisor
ITS Executive Director
Patrick Hines
For ITS Use Only
Username:
Email Address:
Sakai Administrator:
Date:
Network Administrator:
Date:
VOIP/Outlook Administrator:
Date:
Informer/Docescan Administrator:
Date:
System Administrator:
Date:
Desktop Support Specialist:
Date:
Remote Access Administrator:
Date:
Revised 10/23/17 vgw
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