Off-Boarding

Department

Area

Employee Information

First Name

Last Name

CWID

MyBama Username

UA Email

Personal Email

Termination Date

Job Title

Forwarding Address

Country

Street

City

Region

Postal Code

Cell Phone Number

Regional Manager/Assistant Director

Cell Phone
When returning your cell phone, go to iPhone settings, then ‘General’ and ‘Reset All Settings’ before turning in cell phone.

ITunes User ID

ITunes Password

Iphone Passcode to Unlock Screen

Receipts for sending items back: Include those in box with P-Card or scan them to Chris Kolb.
Items can be sent back to Jim Lander‘s attention

Supervisor

Phone Number

Reason for account deactivation:

Leaving UA

Transferring Departments

Other

Please briefly describe your reason: