CALIFORNIA STATE UNIVERSITY, EAST BAY
SEPARATING EMPLOYEE CLEARANCE FORM
SECTION 1 - EMPLOYEE INFORMATION (To be completed by the manager)
Employee Last Name
Employee First Name
Employee Email ID
Last Day Worked
Submitted Help Desk Ticket to Information Technology Solutions & Telecom.
Access to systems, including email, will be ceased by the
Last Day Worked stated above
Initiate Service Desk Ticket at the
IT Help Desk Webpage
Initiated the EFAF/ESAF for separating employee.
Submitted SEAF to payroll (for Student Assistants)
Manager's Email Address