Account Transition Handover Certificate Form
Document and certify the transfer of an account and associated assets or access between parties.
Account Name or Reference
*
Outgoing Owner/Manager Name
*
First Name
Last Name
Incoming Owner/Manager Name
*
First Name
Last Name
Date of Handover
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Assets or Access Being Transferred
*
Are there any exceptions or outstanding issues?
*
No exceptions or issues
Yes, exceptions or issues noted below
If yes, please describe exceptions or outstanding issues
Signature of Outgoing Owner/Manager
*
Signature of Incoming Owner/Manager
*
Submit Handover Certificate
Submit Handover Certificate
Should be Empty: