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. Your name * Your email * Employee name * Employee email * Employee UCInetID * Employee type * Faculty Staff Postdoc Grad Student Undergrad Student Other... Employee type Other... Remove Phone * MS Teams Phone Physical Wired Phone What type of phone was the employee using? Phone # * Phone number will stay with the department. Last day of employment * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20222023202420252026 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 Comments Leave this field blank
