Separated Employee

(Fields marked with * are required.)

Department

*Choose the employee's department

*Your First Name:

*Your Last Name:

*Your Email:

*Your Phone:

*Employee's First Name:

*Employee's Last Name:

Employee's Preferred Name:
(if needed)

*EID:

Title:

*Direct supervisor or work unit:

*Date of Separation:

Is this employee a temp?YesNo

If yes, please complete the two fields below:

Manager sponsoring temp:

Expiration date:

TRECS will reimage all computers prior to a new employee using it.

*Current location of employee's computer:

Does this computer need special security?

Who will review and distribute documents and folders from this computer?