Automated Position Closing Request Form
Submit a request to close a job position or system access. Please provide all required details to ensure timely processing.
Requester Full Name
*
First Name
Last Name
Requester Email Address
*
example@example.com
Department
*
Please Select
Human Resources
Finance
IT
Operations
Sales
Marketing
Other
Position to be Closed (Title or Access Name)
*
Position Type
*
Job Role
System Access
User Account
Other
Reason for Position Closure
*
Effective Date for Closure
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Urgency Level
*
Standard (within 5 business days)
Urgent (within 2 business days)
Immediate (same day)
Direct Manager/Supervisor Name
*
Direct Manager/Supervisor Email
*
example@example.com
Are there any company assets to be returned (e.g., laptop, badge, phone)?
*
Yes
No
Additional Comments or Instructions (optional)
Attach Supporting Documents (optional)
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Submit Request
Should be Empty: