Service Closure Notice Form
Please complete this form to officially notify and document the closure of a service. Provide all required details to ensure proper communication and record-keeping.
Service Name or ID
*
Department or Team Responsible for the Service
*
Name of Person Submitting this Notice
*
First Name
Last Name
Contact Email Address
*
example@example.com
Service Description
*
Closure Effective Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Reason for Service Closure
*
Please Select
Service Redundancy
Budget Constraints
Low Usage
Strategic Realignment
Other
Please provide additional details about the reason for closure (if needed)
List Stakeholders or Users Affected by the Closure
*
What is the anticipated impact of this closure?
*
No impact
Minor inconvenience
Moderate disruption
Major disruption
Other
Upload any supporting documentation (optional)
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Please confirm that all relevant parties have been notified of this closure.
*
I confirm that all relevant parties have been notified.
Submit Notice
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