Employee's First Name*: MI *: Last Name*:

Employee's School or Division*:

Employee's Wesleyan ID Number*:

Employee's Job Title or Function*:

Employee's Phone Number*:

Dean/Supervisor's Name*:

Employee's Affiliation*:

Termination Date: mm/dd/yy

Data Status:

*Is the supervisor aware that all data remaining under the terminated employee's accounts will be deleted at 5:15 pm on the identified termination date and does she or he authorize ICT to take this action?

Please note: If you indicated "No", the form cannot be processed. For assistance interpreting this information, contact the ICT Help Desk at (817) 531-4428.

Has all office-related data been moved from the employee's personal network space (H: drive) and from the hard drive of the employee's assigned PC to the departmental shared drive (I: drive)?

Please note: All data stored on the terminated employee's personal network space (H: drive) and assigned PC will be deleted at 5:15pm on the date of termination. For assistance moving the data, contact the ICT Help Desk at (817) 531-4428.

Have all office-related email messages been forwarded to the department's shared email account?

Please note: All email messages stored under the terminated employee's email account will be deleted at 5:15pm on the date of termination. For more information, contact the ICT Help Desk at (817) 531-4428.

Name of Person Completing this Request*:

Once confirmation of termination is received from the Human Resources Department, all of the terminated employee's accounts will be disabled. All data stored on the employee's personal network space (H: drive) and PC hard drive will be deleted at 5:15pm on the date of termination unless other arrangements are made with ICT. For more information, contact the ICT Help Desk at (817) 531-4428.

Please allow 10-15 business days for processing. For an update on the status of your request, contact the ICT Help Desk at (817) 531-4428.