TECHNOLOGY CHECKOUT FORM

Instructions: Complete Sections 1 and 2. Submit.
Please Allow IT 48 Hours To Process Your Request

SECTION 1: SUPERVISOR INFORMATION

Date Created: +

Name of Person Completing Form:

Supervisor Phone:

Supervisor Name:

Supervisor Email (first.last@src.edu):

Reason for Technology Checkout:

Employment Termination

Transfer to a different position, office, or department

SECTION 2: EMPLOYEE INFORMATION

Employee Name:

Last Day Worked: +

Did this employee have a network account?

Yes

Two (2) copies of the employee network files (h drive on CD's) will be provided to the Supervisor listed above and removed from the SRC network immediately following the employees last day at work.

Did this employee have an e-mail account?

Yes

If yes, what would you like to do with the employee's incoming e-mail?

Delete

Forward

If forwarded, for how many days?

Did the employee have an office telephone?

Yes

All employee email and telephone accounts are automatically forwarded to the Supervisor listed above unless the Supervisor indicates the email and/or telephone extension of a temporary replacement employee here:

NOTES:

Emails are not forwarded to the former employee.

All email accounts kept active will contain the following automatic reply message: "The person with this email address is no longer an employee of Spoon River College. Please call 309-647-4645 or email info@src.edu to contact the appropriate person"

Did the employee have an Canvas account?

Yes

Did the employee have an CX Admin. System account?

Yes

Is form ready for submit? (Select "Yes" and click the submit button at the bottom of the form.)

Yes

NOTE!! You are done filling out the check out form. Make sure the box is selected and then scroll down to submit the form to IT!

SECTION 3: NETWORK, EMAIL, CANVAS USE ONLY

Is Network, Email, and/or Canvas accounts disabled?

Yes

N/A

Have you cleared SSO recovery methods?

Yes

Ready to submit to CX? (Check "Yes" and click the submit button below.)

Yes

SECTION 4: CX ADMIN SYSTEM USE ONLY

Is CX Admin. System account disabled?

Yes

N/A

Ready to submit to Phone? (Check "Yes" and click submit button below.)

Yes

SECTION 5: PHONE SYSTEM USE ONLY

Is Phone account disabled?

Yes

N/A

Is form completed?

Final Submit

Qustions about this form? Contact Mitch Williams or the Help Desk.