Instructions: Complete Section I. User Termination upon decision to terminate an employee, inter, or volunteer.

User termination requests are processed between 6AM and 5PM PT Monday – Friday. Send completed and signed form to IT at least 24 hours prior to the user termination. If this is an emergency termination, please contact the Help Desk at 619-651-8787. Note: Only authorized LCS users can submit user termination forms or contact the Help Desk for emergency user termination. During an emergency termination call, the Help Desk will only process the request if the approver is calling from their documented mobile phone number.

Note: For litigation holds, please contact the Help Desk at 619-651-8787

Fill out and print all pages of the form. Give completed and signed form to IT at least 24 hours prior to the term 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. A copy shall be stored in the designated folder on the network drive. Hardcopies shall be stored in the User’s HR file. Direct any questions to help@centrexIT.com.

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 ☐ Staff ☐ Intern ☐ Volunteer

Dept. Mngr. Approval Name: Signature: Date: Remote Wipe ☐ Company Issued Laptop (Retrieve Laptop,) ☐ Company Issued Mobile Device (Wipe ALL Data) **Should only be done if Company owned device ☐ Other (Please Specify)

Email ☐ Disable email address from receiving new mail (generates a bounce back) ☐ Forward all new incoming email to: (SPECIFY HERE)____________________________ ☐ Keep email account enabled but change password ☐ Give Full Mailbox Access to: (SPECIFY HERE)_________________________________ ☐ Destroy all mailbox data ☐ Remove from ALL email distribution groups with script and confirm removal Phone Number ☐ Forward Calls to Extension: (xxx)

Remove Access ☐ Adobe Acrobat 2020 ☐ Dropbox ☐ MS Office Pro Plus 2016 ☐ Zoom Workplace ☐ Sage 300 ☐ Dayforce HRIS ☐ ETO ☐ Brivo