Lantern Separation Form Employee Name: *Job Title: *Location: *Amber HallAudubon HallCedars HallClover HallHunterfly TraceHuntersmoon HallJasper HallLaurel HallLeeward HallMain OfficeLindenguild HallProspero HallRustin HouseSavanna HallSchafer HallSilverleaf HallStardom HallThe PlazaVicinitas HallSeparation Reason *SelectTerminationRetirementResignationOtherHire DateSeparation Reason = Other: FILL IN *Instructions for account transfer:Give delegate access to employees emailCopy personal files into another user's driveOtherWas this team member assigned a laptop? *YesNoLaptop IDWas this team member assigned a company cell phone? *YesNoCell phone numberWas this team member assigned a key fob? *YesNoEffective Date *Effective TimeHoursMinutesAMPMOther instractionsEmployee name who will need delegate access:Employee name to whom files needs to be copied PriorityLowMediumHighUrgentSupervisor's name *Supervisor's e-signature *Start signing your signature hereYour browser does not support e-Signature field.DateCC RecipientSubmit Request
