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Home
About
Services
Managed Services
Workstation Servicing and Building
Network Design and Consultation
IT Consulting
Remote Network Administration and Monitoring
Colocation Services
The Cloud
Data Security
Data Protection
Disaster Recovery
IT Outsourcing
Automated Onsite and Offsite Backup Solutions
Business Phone Systems
Network Infrastructure
Video Surveillance and Burglar Alarms
Contact
Independence – User Separation Request
Independence Admin Portal
Independence - User Separation Request
This form is intended for administrators to notify us of an employee termination.
Terminated Employee's Name:
*
First
Last
Is the terminated employee a head of a department?
Yes
No
Please select their email from below:
*
Administrator@stphealth.com
Admissions@stphealth.com
AP@stphealth.com
BOM@stphealth.com
DON@stphealth.com
DSD@stphealth.com
Maintenance@stphealth.com
Terminated Employee's Email:
*
Enter Email
Confirm Email
What date will the employee be terminated?
*
Date Format: MM slash DD slash YYYY
Should we archive/back up their data?
*
Email
User Documents
Other
If known, what is their PCC username?
Additional Info:
Your Name:
*
First
Last
Your Email:
*
Enter Email
Confirm Email
What's the best way to contact you?
Cell Phone #
Office Phone #
Email
Other
Cell Phone #:
*
Office Phone #:
*
How should we contact you?
*
Name
This field is for validation purposes and should be left unchanged.
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