Form Center

2. Last Name
3. First Name
5. Title
6. Department
   -- Select One --AssessorsBuildingClerkElectricFireHuman ResoucesITLegalMayors OfficePolicePublicityPurchasingQuality of LifeRec CenterTreasurersOther (Not Listed)
8. Supervisor
9. Inactive Date
   Inactive Date
13. Please select the program(s) the employee has access to so that we may disable them:

    1. Munis (Financial)
    2. enQuesta (Utility Billing)
    3. Cognos
    4. Paymode
    5. Municity (Building)
    6. Dossier (Garage)
    7. PAS (Assessment)
    8. Camera Access

    1. GIS
    2. Court
    3. AutoCAD
    4. RecPro (Recreation)
    5. Red Alert (Fire)
    6. OMS (Electric)
    7. Integrator (Electric)
    8. Other (not listed)
15. Forward Munis approvals to (if applicable)
16. Other Applications or Programs that need to be disabled
20. Does the employee have a Village e-mail account?

    1. Yes
    2. No
    3. I'm Not Sure
21. Who will be responsible for e-mail currently in the employee's mailbox?
23. How would you like future e-mail handled?

    1. Stopped
    2. Auto-Reply Message
    3. Forward E-Mail
24. Forward Email To (if applicable)
25. Auto-Reply E-mail Message (if applicable)
29. Does the employee have a phone extension?

    1. Yes
    2. No
    3. I'm Not Sure
30. How would you like future calls to be handled?

    1. Forward the calls
    2. Stop the calls
    3. Do Nothing
31. Forward The Extension To (if applicable)
35. Additional Information
Leave This Blank:


37. 1. Receive an email copy of this form.
38. Email address

    This field is not part of the form submission.

39. Submit

* indicates a required field