[Company Logo][Company Name]
- Request No.:
- [Reference Number]
- Date:
- [Date]
- Requested by:
- [HR Name]
- Priority:
- Normal (last working day) / Urgent (immediate block)
1. Account Details
| Employee Name | [Employee Name] |
|---|
| Employee ID | [Employee ID] |
|---|
| Department | [Department] |
|---|
| Email ID | [Email ID] |
|---|
| Aliases / shared mailboxes owned | [Details] |
|---|
| Last Working Day | [Last Working Day] |
|---|
2. Closure Instructions
| Action | Required | Details |
|---|
| Block sign-in | Yes | On [DD/MM/YYYY] at [HH:MM] |
| Auto-reply | Yes / No | For [Number] days |
| Forward incoming mail | Yes / No | To [Email ID] till [DD/MM/YYYY] |
| Delegate access to manager | Yes / No | [Reporting Manager] till [DD/MM/YYYY] |
| Convert to shared mailbox | Yes / No | Owner: [Owner Name] |
| Remove from distribution lists | Yes | All |
| Transfer ownership of shared mailboxes | Yes / No | To [Employee Name] |
3. Auto-Reply Text
Thank you for your email. [Employee Name] is no longer with [Company Name]. For any assistance, please contact [Replacement Name] at [Email ID] or [Mobile Number]. Your message has not been forwarded automatically.
4. Data Retention
| Mailbox backup / archive required: Yes / No | |
|---|
| Retention period | [Number] days from Last Working Day |
|---|
| Legal hold (dispute / investigation): Yes / No | |
|---|
| Planned deletion date | [DD/MM/YYYY] |
|---|
| Licence to be reclaimed on | [DD/MM/YYYY] |
|---|
5. Approvals
| Approver | Name | Decision | Date |
|---|
| HR | [HR Name] | Approved | [DD/MM/YYYY] |
| Reporting Manager | [Reporting Manager] | Approved | [DD/MM/YYYY] |
| IT Head | [IT Head Name] | Approved | [DD/MM/YYYY] |
6. IT Action Log
| Action | Done On | Done By |
|---|
| Sign-in blocked | [DD/MM/YYYY HH:MM] | [IT Executive Name] |
| Auto-reply / forwarding set | [DD/MM/YYYY] | [IT Executive Name] |
| Mailbox archived | [DD/MM/YYYY] | [IT Executive Name] |
| Account deleted and licence reclaimed | [DD/MM/YYYY] | [IT Executive Name] |
Requested by
[HR Name]Date:
[Date]Executed by
[IT Executive Name]IT Department
Date:
[Date]