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Termination/Resignation Form

Request submitted by:
Termination/Resignation Details
First Name:
Last Name:
User ID (e.g. jsmith):

Last Day of Employment (MM/DD/YYYY):

User's IMS ID:
Request: (Select from below - Multiple options possible)
Forward Email to the following address:
Delete account and all associated files
Retain files for position replacement
Other:
 


 
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