Instructions: Complete Section I. User Termination upon decision to terminate an employee, consultant, contractor, temp, or intern.

User termination requests are processed between 8AM and 5PM PT Monday – Friday. Send completed and signed form to IT at least 1 business day prior to the user termination. If this is an emergency termination, please contact the Service Desk at 619-651-8787. Note: Only authorized Phase Scientific staff can submit user termination forms or contact the Service Desk for emergency user termination. During an emergency termination the Service Desk will only process the request if the approver is calling from their documented mobile phone number or Phase Scientific main office number.

Fill out and print all pages of the form. Give completed and signed form to IT at least 1 business day prior to deactivation date. Send form to help@centrexit.com with the subject “Terminate User Request.” Requests made fewer than 24 hours may not be completed prior to the desired termination date. The PDF copy shall be stored in the designated folder on the network drive. Hardcopies shall be stored in the User’s HR file.

Section I. User Termination

Name of person completing this form:

Date:

User Information

First Name:

Last Name:

Job Title:

Termination Date and Time:

Employee Type

☐ Full-Time     ☐ Part-Time/Temp/Intern         ☐ Consultant/Contractor

Dept. Mngr. Approval

Name:

Signature:

Date:

Location:

Please Specify:

☐ Remote/Other (specify):

Email

☐ Remove Office365 License (email address and all historical data will be lost)

☐ Keep email account enabled but change password

☐ Convert to Shared Mailbox and Give Full Mailbox Access to:

☐ Forward emails to:

User Data

☐ Disable Active Directory User Account (for future use)

☐ Disable Zoom

☐ Move Sharepoint files to Terminated User Files Sharepoint (https://phasesci.sharepoint.com/sites/TerminatedUserFiles)