term Name*Employee being terminated First Last Effective Date*Effective Termination Date MM slash DD slash YYYY Department*Employee's DepartmentAdvertisingBusinessCirculationEditorialHawgs IllustratedHuman ResourcesInformation TechnologiesProductionForwardingWhat email should this account be forwarded to? Remove from email listsAny email lists that you'd like removed from the account? Assigned Hardware*Select all that applyNoneLaptopTabletCell PhoneLaptop Asset Tag*4 digit asset tag number Tablet Asset Tag*4 digit asset tag number System Access*Select all systems that employee had access toDTI AccessDSI AccessDSI or DTI remote desktopEllingtonNewsengin AccessPBS AccessOracleNoneBuilding AccessSelect all that applyFayetteville OfficeSpringdale OfficeIssued by*Your name First Last Issuers email*Your email All access is logged. Departments Heads receive notification of all requests.