| A | B | C | D | E | |
|---|---|---|---|---|---|
1 | Personnel Exit Checklist | ||||
2 | Employee Name: [insert full name] | ||||
3 | Account ID: [insert ID] | ||||
4 | Employment End Date: [insert MM/DD/YYYY] | ||||
5 | |||||
6 | Items to Collect / Physical Security | ||||
7 | Completed? | Initials | Date | Notes | |
8 | Collect identification Card | [No / Yes / N/A] | |||
9 | Collect machine room access badge/key | ||||
10 | Collect networking access badge/keys | ||||
11 | Collect office/filing cabinet keys | ||||
12 | Collect authentication tokens | ||||
13 | Collect issued hardware (laptop(s)/phone) | ||||
14 | |||||
15 | Access Revocation, Account Removal, & Cleanup | ||||
16 | Completed? | Initials | Date | Notes | |
17 | Disable account(s) [list all or point reference an external document listing all] | ||||
18 | Remove from mailing lists | ||||
19 | Remove from privileged passwords list / Issue new passwords | ||||
20 | Remove from Pager/MON services | ||||
21 | Remove Wiki access | ||||
22 | Remove DAV access | ||||
23 | Remove access to secure storage (safes, lockboxes) | ||||
24 | Removal from phone directory/website | ||||
25 | Disconnect office phone/voicemail | ||||
26 | |||||
27 | HR Items | ||||
28 | Completed? | Initials | Date | Notes | |
29 | Final PTO Memo / PTO Worksheet | ||||
30 | Business Office Sign-Off | ||||
31 | v1 - May 2014 |