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Employee Exit Notification

When an employee leaves, please fill out this form so we can be sure to make the necessary arrangements to remove access and equipment for the former employee.

Employee type
Remove Phone
What type of phone was the employee using?
Phone number will stay with the department.

Do you have keys/keycard to return?
Please contact Paul Lange to set up return

Paul Lange
5306 Social & Behavioral Sciences Gateway
langep@uci.edu
949-824-6841

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