User Separation Request

Complete this form to notify IT of an employee separation. Fields marked with * are required.

Internal HR / IT Only v1.0

Submitted By

Populated from Entra SSO

Will this person continue working for PaceMate in another capacity? *

If yes, please use the User Information Update Form instead — do not continue with this form.

Effective Date of Separation * Official last working day

Effective Time of Separation * EST — e.g. 1200 = noon, 2400 = midnight

Employee * Search by name — this fills in name, email, and manager below

First Name *

Last Name *

PaceMate Email Address *

Personal Email Address *

Phone Number * 10 digits

Manager Email Address * Auto-populated from the employee's manager in Entra ID

Shipping Address * For return of company property, if applicable

Additional Notes optional

You'll receive a confirmation email once IT has been notified.