IT Services Transfer Authorization Form
Authorize and document the transfer of IT accounts, access, or resources from one user or department to another.
Requester Full Name
*
First Name
Last Name
Requester Email Address
*
example@example.com
Requester Department/Unit
*
Recipient Full Name
*
First Name
Last Name
Recipient Email Address
*
example@example.com
Recipient Department/Unit
*
IT Services or Resources to be Transferred
*
Reason for Transfer
*
Effective Date of Transfer
*
-
Month
-
Day
Year
Date
Manager/Supervisor Approval Name
*
First Name
Last Name
Manager/Supervisor Email Address
*
example@example.com
Signature of Requester
*
Submit Authorization
Submit Authorization
Should be Empty: