REMOVAL OF ACCESS PRIVILEGES AND RETURN OF UVA MC

08 ELECTRICAL8I IGNITION CONTROLCOIL IGNITIONREMOVAL 47L
090113 202T161 REMOVAL OF EXISTING TRAFFIC SIGNAL EQUIPMENT
11030 ROADSIDE LITTER REMOVAL (REV 8113) (1115) THE

113006 REMOVAL OF EXISTING TRAFFIC SIGNAL EQUIPMENT THE FOLLOWING
71170 REMOVAL OF EXISTING THERMOPLASTIC PAVEMENT MARKINGS (REV
803 SNOW REMOVAL 80301 SERVICE REQUIRED REMOVE SNOW

Removal of Access Privileges and Return of UVA MC Property

Removal of Access Privileges and Return of UVA MC Property

The following checklist must be completed for salaried faculty and staff who are transferring to another department or separating employment with the Medical Center. Please return to the Departmental file for the employee upon completion.

Employee Name: ____________________________

Employee ID#: ____________________________

Department: ____________________________

Position Title: ____________________________

Access Privileges and Medical Center Property:

Has employee returned all Medical Center property he/she may have been entrusted with, and have all computer and phone accounts and other authorizations been inactivated?

Item	Date Returned
ID Badge
Email accounts/access privileges
Credit and/or Travel Cards
Keys/Swipe cards
System/Computer Accounts & Access
Long Distance Calling Card/FAC
Phone Mail account & access
Keys
Other Medical Center Property

_____________________________ ________________

Supervisor’s Signature Date

82018 ABANDONED MANUFACTURED HOMES (REMOVALRECYCLINGDISPOSAL) COUNTY IS
A RGUMENTS IN FAVOR OF REMOVAL OF THE CHEROKEE
A TRAIL OF TEARS THE INDIAN REMOVAL ACT US

Tags: access privileges, & access, access, return, privileges, removal