Assessment System Disable Request Form
Submit your request to disable a system or assessment. Please provide complete details to ensure prompt processing.
Your Full Name
*
First Name
Last Name
Your Email Address
*
example@example.com
System or Assessment to Disable
*
Reason for Disable Request
*
How urgent is this disablement?
*
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2
3
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5
Please indicate your agreement with the following statements about this disablement request.
*
Rows
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
I have considered the impact on users.
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2
3
4
5
I have notified all relevant stakeholders.
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10
I understand this action may be irreversible.
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Select the type of disablement requested
*
Temporary
Permanent
Other
Impact Areas (select all that apply)
User Access
Data Availability
Reporting
Other
Summary of Affected Users or Departments
Submit Request
Should be Empty: